Professional Documents
Culture Documents
TEXT FOR
CENTURION® VISION SYSTEM
OPERATOR'S MANUAL
The information contained within this document is confidential and proprietary to Alcon Research, Ltd.
This information shall not be reproduced or further disclosed, in whole or in part, to anyone other than
Alcon employees without prior written consent from Alcon Research Ltd.
SHEET 1 of 203
BY DATE TITLE
Jan Hertzen 10/23/14 TEXT, MANUAL, OPER,
CHECKED
CENTURION 2.04
Troy Hinzman 10/23/14
IRVINE, CA 92618-3818
APPROVED DWG NO. REV
Kurt Leukanech 10/23/14 905-2150-003 A
®
Operator's Manual
EC REP
Manufacturer:
Alcon Laboratories, Inc. Alcon Laboratories (UK) Ltd.
6201 South Freeway Frimley Business Park
Fort Worth, Texas 76134-2099 Frimley, Camberley
U.S.A. Surrey, GU16 7SR, United Kingdom
Produced By:
Alcon Research, Ltd.
15800 Alton Parkway
Irvine, California 92618-3818
U.S.A.
* a trademark of Novartis
8065752943 iii
FOR REFERENCE ONLY
SECTION TWO - DESCRIPTION PAGE #
Description of Centurion Vision System. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2.1
*
Description. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2.1
Trademark Note . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2.1
Centurion* Vision System Console and Accessories . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2.2
Description of Console. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2.2
Fluidics Module . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2.2
Front Display Panel and Touch Screen. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2.3
Adjustable Instrument Tray. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2.3
Front Panel Connectors. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2.3
Standby Power Switch . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2.4
Accessory Drawer. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2.4
Audio Speakers. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2.4
Locking Caster Wheels. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2.5
Handle Bar . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2.5
Equipotential Ground Connector . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2.5
AC Power Cord Hanger . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2.5
Primary AC Power Switch . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2.5
Footswitch Hanger / Charging Station. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2.5
Input/Output (I/O) Connector Panel. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2.5
Rotating Work Surface. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2.6
Fluidics Administration. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2.7
Power IV Pole and Hanger for Gravity Fluidics. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2.7
Bag Bay for Active Fluidics* Technology . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2.7
Description of Footswitch. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2.8
Footpedal Control. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2.9
Toe Switch Control. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2.10
Footswitch Status LEDs. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2.14
Changing Footswitch Battery. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2.14
Pairing Footswitch with Centurion* System. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2.14
Footswitch Floor Security. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2.15
Cabled Footswitch Connectors. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2.15
Description of IR Remote Control. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2.16
Remote Control Keys and Buttons. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2.16
Remote Control Batteries. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2.18
Select Remote Control Channel. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2.19
Handpieces, Tips, and Infusion Sleeves. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2.20
Phaco Handpieces. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2.20
TurboSonics* Family of Tips. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2.22
Infusion Sleeves . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2.23
UltraFlow* II I/A Handpiece. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2.24
Intrepid* AutoSert* IOL Injector. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2.25
Centurion* UltraVit* Probe. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2.27
Fluidic Management System. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2.28
Description. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2.28
8065752943 v
FOR REFERENCE ONLY
Surgery Screen and Its Functions. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2.73
Status Panel. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2.73
Surgery Window. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2.73
Surgery Controls. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2.74
Fluidics Controls. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2.77
Surgery Window with Phaco Steps. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2.82
Surgery Window with I/A Steps. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2.82
Surgery Window with AutoSert* Injector Step. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2.83
Surgery Window with Coagulation Step. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2.83
Surgery Window with AnteriorVitrectomy Step. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2.84
Surgery Steps . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2.85
Setup Button. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2.86
Procedural Step Buttons. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2.86
Stationary Step Buttons. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2.86
8065752943 vii
FOR REFERENCE ONLY
LIST OF FIGURES
Figure 1-2 Icons Used with the Centurion* Vision System. . . . . . . . . . . . . . . . . . . . . . . . . . . . 1.25
Figure 1-3A Labeling on Centurion* Vision System. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1.26
Figure 1-3B Labeling on Centurion* Vision System. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1.27
Figure 1-4 Coagulation Power Outputs . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1.28
8065752943 ix
FOR REFERENCE ONLY
Figure 2-89 Footpedal Control in I/A Mode of Operation. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2.91
Figure 2-90 AutoSert* IOL Injector Screen. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2.93
Figure 2-91 Footpedal Control in AutoSert* Mode of Operation. . . . . . . . . . . . . . . . . . . . . . . . . 2.93
Figure 2-92 Intrepid* AutoSert* IOL Injector Setup. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2.94
Figure 2-93 The Coagulation Screen. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2.96
Figure 2-94 Footpedal Control in Coagulation Mode of Operation. . . . . . . . . . . . . . . . . . . . . . . 2.96
Figure 2-95 Anterior Vitrectomy Setup Dialog . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2.98
Figure 2-96 Footpedal Control in Anterior Vitrectomy Mode of Operation . . . . . . . . . . . . . . . . 2.98
Figure 2-97 Anterior Vitrectomy (Anterior Vit) Screen. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2.99
Figure 2-98 Anterior Vitrrectomy (I/A Cut) Screen. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2.99
Table 3-1 Table of Phaco Handpiece Tips and Corresponding Infusion Sleeves . . . . . . . . . . . . . 3.5
8065752943 xi
FOR REFERENCE ONLY
PREFACE
This operator's manual is your written guide to the Centurion* Vision System and considers all
options available to the customer; therefore, when reading this manual, ignore the options which do
not apply to your specific unit.
Please read the entire manual carefully before operating the instrument. Recommended settings are
given only as guidelines, and are not meant to restrict the surgeon; however, before trying other
settings, the surgeon and support personnel should be experienced with the system and familiar with
the new settings.
NOTE: If an inconsistency exists between the instructions in the operator's manual and the
Directions For Use (DFU) supplied with a consumable pack or accessory, follow the DFU.
Equipment improvement is an on-going process and, as such, changes may be made to the
equipment after this manual is printed.
Pay close attention to Warnings, Precautions, Cautions, and Notes in this manual. A Warning
statement is written to protect individuals from bodily harm. A Precautionary statement is action
taken in advance to protect against possible danger, failure, or injury; a safeguard. A Caution
statement is written to protect the instrument from damage. A Note is written to bring attention to
highlighted information.
If you have questions, or want additional information, please contact your local Alcon representative
or the Alcon Technical Services Department at:
CAUTION: U.S. Federal Law restricts this device to sale by or on the order of a physician.
xii LAST
FORPAGE OF THIS SECTION
REFERENCE ONLY 8065752943
SECTION ONE
GENERAL INFORMATION
The Centurion* Vision System is intended for use in small incision cataract lens extraction
and IOL injection surgical procedures. This system allows the surgeon to emulsify and
aspirate the lens in the eye, while replacing aspirated fluid and lens material with balanced
salt solution. This process maintains a stable (inflated) eye chamber volume. Using system
controls, the surgeon regulates the amount of power applied to the handpiece tip, the rate
of aspiration, vacuum, and the flow of BSS* irrigating solution. The system includes a
footswitch to enable the surgeon to
control flow of fluidics, aspiration
rate, phaco power, vitrectomy
cut rate, IOL injection rate, and
coagulation power.
8065752943 1.1
FOR REFERENCE ONLY
Key Features of the Centurion* Vision System
• Customized cataract lens removal options:
- High performance Centurion* OZil* handpiece with ultrasonic torsional oscillations
which can be used exclusively, combined, or alternated with traditional phaco.
- High performance Infiniti* OZil* handpiece with ultrasonic torsional oscillations which
can be used exclusively, combined, or alternated with traditional phaco.
• Advanced fluidics with quick, smooth control of aspiration.
• Advanced Active Fluidics* technology with quick, smooth control of irrigation flow,
controlled via the front panel, footswitch, or remote control..
• Automated IV pole for traditional gravity fluidics, controlled via the front panel,
footswitch, or remote control.
• Programmable IOP target setting.
• Fully programmable, multi-microprocessor control.
• Modularized fluidic connections with disposable Fluidic Management System (FMS).
• Emulation of venturi-like fluidic performance.
• Power assisted IOL insertion by way of lightweight, autoclavable AutoSert* handpiece.
• Ability to drive a high performance Centurion* UltraVit* vitrectomy guillotine cutter.
• Bipolar coagulation capability.
• Several traditional modalities of ultrasonic power control including continuous, pulsed,
and burst application of ultrasonic power, as well as duty cycle management.
• Wireless linear footswitch control of ultrasonic power in phaco steps (sophisticated
control loop offers low-end control).
• Wireless linear footswitch control of aspiration flow rate in I/A, vit, and lens removal
steps.
• Wireless linear footswitch control of vacuum in I/A, vit, and lens removal steps.
• Wireless linear footswitch control of IOL insertion.
• On-demand continuous irrigation.
• Programmable, pressurized reflux via the footswitch.
• Ability to set IOP, vacuum levels, and aspiration flow rates to desired levels in phaco,
I/A, and vit steps.
• Ability to switch between surgical steps using touch screen, remote control, or footswitch.
• Emission of variable tones for confirmation of system operational status.
• Voice confirmation during surgical step or mode changes.
• Articulating flat screen: active matrix color LCD with touch screen.
• High-tech graphical user interface.
• Multi-channel IR remote control.
The AutoSert* IOL Injector Handpiece achieves the functionality of injection of intraocular
lenses. The AutoSert* IOL Injector Handpiece is indicated for use with AcrySof* lenses SN60WF,
SN6AD1, SN6AT3 through SN6AT9, as well as approved AcrySof* lenses that are specifically
indicated for use with this inserter, as indicated in the approved labeling of those lenses.
The Centurion* Vision System, including accessories approved by Alcon, constitutes a complete
surgical system and is intended exclusively for use by licensed ophthalmic surgeons and
their surgical teams. These surgical teams are experienced at conducting phacoemulsification
procedures in a properly maintained surgical environment (qualified personnel, availability of
backup equipment) and are familiar with the operation of the equipment used as outlined in
operator's manuals and directions for use (setup/checkout procedures to be completed before
the surgical procedure; processing of reusable devices; maintenance; etc.).
Patient selection for use with the Centurion* Vision System (such as age, ophthalmic
pathology, and other factors) is determined by the surgeon. The general patient age can range
from newborn to geriatric, although there have been studies that have identified the mean age
of patients that underwent cataract surgery was 72.32 yrs - men and 74.89 yrs - women.1
Trademark Note
A button, mode, or step labeled OZil*, AutoSert*, or UltraChop refers to a display
screen control used with a phaco handpiece, Intrepid* AutoSert* IOL injector, or Alcon's
UltraChopper* tip, respectively.
Abbreviation Descriptions
Many of the abbreviations used in this manual and on the Centurion* Vision System are
described in Table 1-6. Icons are identified in Figure 1-2.
Accessory Equipment
Accessory equipment connected to or used with this equipment must be certified according
to the respective IEC Standard (e.g., IEC 60950-1 for data processing equipment, and IEC
60601-1 for medical equipment). Furthermore, all configurations shall comply with clause 16
of IEC 60601-1:2005 (as amended). Anyone connecting additional equipment or otherwise
1. “Age and sex profile of patients having cataract surgery between 1986 and 2003”
Philip O'Reilly, FRCSI (Ophth), U. Mahmound, FRCOphth, P. Hayes, FRCOphth, P. Tormey, FRCOphth, S. Beatty, MD.
Journal of Cataract Refractive Surgery 2005; 31:2162-2166
8065752943 1.3
FOR REFERENCE ONLY
causing a different system configuration than provided by Alcon is responsible for continued
compliance to the requirements of clause 16 of IEC 60601-1:2005 (as amended). If in doubt,
consult the Technical Services department or your local Alcon representative.
Follow local governing ordinances and recycling plans regarding disposal or recycling of
device components and packaging.
In order to avoid the entry of any such substances into our environment, and to promote
natural resource conservation, please install, maintain, and operate the equipment in
accordance with the instructions. Information on the location of hazardous substances,
resource consumption and emissions of the equipment can be found throughout this
Operator's Manual. Please use the appropriate take-back systems. Such take-back systems
reuse or recycle many of the materials in your end-of-life equipment in a beneficial way.
Please contact your local Alcon office for assistance in take-back options through Alcon
or other providers.
The crossed-bin symbol located on this equipment reminds you to use take-back
systems, while also emphasizing the requirement to collect waste equipment
separately, and not dispose of it as unsorted municipal waste. The Pb notation, if
present, indicates that the labeled device contains greater than 0.004% lead.
If you need more information on the collection, reuse or recycle systems available to
you, please contact your local or regional waste administration, or contact your local
Pb
Alcon office for more information.
Universal Precautions
Universal precautions shall be observed by all people who come in contact with the
instrument and/or accessories to help prevent their exposure to blood-borne pathogens
and/or other potentially infectious materials. In any circumstance, wherein the exact
status of blood or body fluids/tissues encountered are unknown, it shall be uniformly
considered potentially infectious and handled in accordance with OSHA or your own
national guidelines.
EMC Statements
It is important to install and use the equipment in accordance with the instructions in
order to prevent harmful interference with other devices in the vicinity. If this equipment
causes harmful interference to other devices (determined by turning equipment off and
on), the user is encouraged to try to correct interference by one or more of the following
measures:
• Reorient or relocate the other device(s).
• Increase the distance between the equipment.
• Connect this equipment into an outlet on a circuit different from that to which the
other device(s) is connected.
• Consult the manufacturer or your Alcon field service engineer for help.
Portable and mobile RF communications equipment such as cellular telephones can affect
medical electrical equipment (see Table 1-3 for recommended separation distances).
WARNINGS!
The use of accessories, transducers, and cables other than those specified, with the
exception of transducers and cables sold by Alcon as replacement parts for internal
components, may result in increased emissions or decreased immunity of the system.
The system should not be used adjacent to, or stacked with, other equipment; and that if
adjacent to or stacked use is necessary, the system should be observed to verify normal
operation in the configuration in which it will be used.
Table 1-1 Guidance and Manufacturer's Declaration - Electromagnetic Emissions - The Centurion*
Vision System is intended for use in the electromagnetic environment specified below. The
customer or the user of the Centurion* Vision System should assure that it is used in such
an environment.
RF emissions Group 1 The Centurion* Vision System uses RF energy only for its internal function.
CISPR 11 Therefore, its RF emissions are very low and are not likely to cause any
interference in nearby electronic equipment.
RF emissions Class A The Centurion* Vision System is suitable for use in all establishments
CISPR 11 other than domestic and those directly connected to a low voltage power
supply network that supplies buildings used for domestic purposes.
Harmonic emissions Class A
IEC 61000-3-2 The EMC Statement provides guidance on steps to take in case of
electromagnetic interference.
Voltage fluctuations/ Complies
Flicker emissions
IEC 61000-3-3
8065752943 1.5
FOR REFERENCE ONLY
Table 1-2 Guidance and Manufacturer's Declaration - Electromagnetic Immunity - The Centurion* Vision
System is intended for use in the electromagnetic environment specified below. The customer or
the user of the Centurion* Vision System should assure that it is used in such an environment.
Immunity Test IEC 60601 Test Level Compliance Level Electromagnetic Environment-Guidance
Electrostatic discharge • ±6 kV contact • ±6 kV contact Floors should be wood, concrete, or ceramic tile. If floors
(ESD) • ±8 kV air • ±8 kV air are covered with synthetic material, the relative humidity
IEC 61000-4-2 should be at least 30 %.
Electrical fast • ±2 kV for power supply • ±2 kV for power supply Mains power quality should be that of a typical hospital
transient/burst lines lines (including ambulatory surgery center) environment. To avoid
IEC 61000-4-4 • ±1 kV for input/output • ±1 kV for input/output pre-mature shutdown due to fast transients avoid powering
lines lines the Centurion* Vision System on the same branch circuit
with sources that can generate fast transients (inductive
switching; e.g., high current motors).
Surge • ±1 kV differential mode • ±1 kV differential mode Mains power quality should be that of a typical hospital
IEC 61000-4-5 • ±2 kV common mode • ±2 kV common mode (including ambulatory surgery center) environment.
Voltage dips, short • < 5 % UT (> 95 % dip in • < 5 % UT (> 95 % dip in Mains power quality should be that of a typical hospital
interruptions, and UT) for 0.5 cycle UT) for 0.5 cycle (including ambulatory surgery center) environment.
voltage variations on • 40 % UT (60 % dip in • 40 % UT (60 % dip in If the use of the Centurion* Vision System requires
power supply input UT) for 5 cycles UT) for 5 cycles continued operation during power mains interruptions,
lines • 70 % UT (30 % dip in • 70 % UT (30 % dip in it is recommended that the Centurion* Vision System
IEC 61000-4-11 UT) for 25 cycles UT) for 25 cycles be powered from an uninterruptible power supply with a
• < 5 % UT (> 95 % dip in • < 5 % UT (> 95 % dip in minimum rating of 1200VA.
UT) for 5 s UT) for 5 s
Power frequency 3 A/m 3 A/m Power frequency magnetic fields should be at levels
(50/60 Hz) characteristic of a typical location in a typical hospital
magnetic field (including ambulatory surgery center) environment.
IEC 61000-4-8
Note: UT is the a.c. mains voltage prior to application of the test level.
Note 1: At 80 MHz and 800 MHz, the higher frequency range applies.
Note 2: These guidelines may not apply in all situations. Electromagnetic propagation is affected by absorption and reflection from
structures, objects, and people.
a
Field strengths from fixed transmitters, such as base stations for radio (cellular/cordless) and land mobile radios, amateur radio, AM and
FM radio broadcast, and TV broadcast cannot be predicted theoretically with accuracy. To access the electromagnetic environment due
to fixed RF transmitters, an electromagnetic site survey should be considered. If the measured field strength in the location in which the
(equipment or system) is used exceeds the applicable RF compliance level above, the (equipment or system) should be observed to
verify normal operation. If abnormal performance is observed, additional measures may be necessary, such as re-orienting or relocating
the Centurion* Vision System.
b
Over the frequency range 150 kHz to 80 MHz, field strengths should be less than 3 V/m.
For transmitters rates at a maximum output power not listed above, the recommended separation distance d in meters (m) can
be estimated using the equation applicable to the frequency of the transmitter, where P is the maximum output power rating of the
transmitter in watts (W) according to the transmitter manufacturer.
Note 1 - At 80 MHz and 800 MHz, the separation distance for the higher frequency range applies.
Note 2 - These guidelines may not apply in all situations. Electromagnetic propagation is affected by absorption and reflection from
structures, objects, and people.
8065752943 1.7
FOR REFERENCE ONLY
Equipment Contains Radio Transmitters
The Centurion* Vision System is a medical device designed for Indoor Use Only, that
incorporates short-range frequency radio transmitters for use solely by the Centurion*
system for communication with system components. These short-range frequency radio
transmitters meet the EU and AFTA countries requirements. They are also FCC; IC;
R&TTE 1999/5/EC and Japanese Radio Law compliant.
• ZigBee Radio Modular (Communication link with Footswitch, SGS and Media Center)
- Frequency or frequency band of transmission: 2.405 – 2.480 GHz
- Type and frequency characteristics of the modulation: OQPSK (Offset quadrature
phase-shift keying)
- The Effective Radiated Power (ERP): 12.91 dBm (19.54 mW)
This device complies with part 15 of the FCC Rules. Operation is subject to the following
two conditions: (1) This device may not cause harmful interference, and (2) this device
must accept any interference received, including interference that may cause undesired
operation.
CAUTION
Change or modifications made to this equipment (including antenna) not expressly
approved by Alcon may void the FCC authorization to operate this equipment.
CAUTION
To ensure that the radio transmitter complies with current FCC regulations limiting
both maximum output RF power and human exposure to radio frequency radiation, a
separate distance of at least 20 cm must be maintained between the unit’s antenna and
the body of the user and any nearby persons at all times, and unit’s antenna must not
be co-located or operating in conjunction with any other antenna or transmitter.
Cet appareil est conforme aux normes d’Industrie Canada RSS exemptes de licence.
Son fonctionnement est soumis aux deux conditions suivantes: (1) Cet appareil ne
doit pas provoquer d’interférences nuisibles, et (2) cet appareil doit accepter toute
interférence, y compris les interférences pouvant provoquer un fonctionnement
indésirable de l’appareil.
Transmitter Antenna:
Under Industry Canada regulations, this radio transmitter may only operate using an
antenna of a type and maximum (or lesser) gain approved for the transmitter by Industry
Canada. To reduce potential radio interference to other users, the antenna type and its
gain should be so chosen that the equivalent isotropically radiated power (e.i.r.p.) is not
more than that necessary for successful communication.
Cet appareil est conforme aux limites d’exposition RF pour les êtres humains comme
elles le sont notifiées dans la norme RSS-102.
This device complies with the requirements of the Council Directive 99/5/EC (R&TTE).
CAUTION
The radio equipment is intended to be used in all EU and AFTA countries. Outdoor
use may be restricted to certain frequencies and/or may require a license for
operation. Contact local Authority for procedure to follow.
For more details on legal combinations of power levels and antennas, contact Alcon
Compliance.
8065752943 1.9
FOR REFERENCE ONLY
Summary of Centurion* System Wireless Certifications
Korea Taiwan
MSIP-CRI-TCS-XE61-24 CCAJ14LP1010T6
CCAJ14LP2610T9
Europe Japan
209-J00082
209-J00083
Australia
007-AA0098
Table 1-4 Information on the Location of Hazardous Substances in the Centurion* Vision System -
The Centurion* Vision System contains hazardous substances which could have potential
effect on the environment and human health if disposed of improperly.
Many of these warnings are stated elsewhere in this manual; however, for easy reference
they are repeated in greater detail here. If additional information is required, please
contact your local Alcon service representative, or the Technical Services Department.
There are no user serviceable components inside the Centurion* Vision System console
or footswitch. Refer all service issues to your factory-trained Alcon service engineer.
WARNINGS!
To avoid risk of electric shock, this equipment must only be connected to a supply
mains with protective earth (ground).
The Centurion* Vision System battery can only be serviced by a factory-trained Alcon
service engineer. Access by untrained personnel can lead to injury.
A qualified technician must check ground continuity and leakage current every twelve
months to ensure they are within the limits of the applicable standards (for example:
EN60601-1/IEC60601-1). Values must be recorded, and if they are above the limits of
the applicable standards, or 50 % above initial measurement, do not use the system;
call Alcon Technical Services.
If the Centurion* Vision System is used at the 220 V - 240 V range in the United States
or Canada, it should be used on a center-tapped, 240 V single phase circuit.
Console isolation from mains is achieved through a two pole power switch. Turn OFF
power switch or unplug the power cord from wall outlet to achieve isolation from mains.
Do not exceed maximum capacity of drain bag (500 ml). Excessive pressure can result
from exceeding drain bag maximum capacity and potentially result in a hazardous
condition for the patient.
Inadvertent actuation of Prime or Tune while a handpiece is in the eye can create a
hazardous condition that may result in patient injury.
Keep clear of display base when raising display from stored position to prevent skin,
hair, and /or clothing from being trapped at the base.
Place the instrument tray in the stored position prior to transportation to avoid a
situation that could cause the system to tip.
Console might overbalance when it is pushed and its wheels are immobilized (blocked).
Route the footswitch cable, power cord and any other cables connected to the
Centurion* Vision System to avoid tripping.
8065752943 1.11
FOR REFERENCE ONLY
WARNINGS!
Appropriate use of Centurion* Vision System parameters and accessories is
important for successful procedures. Use of low vacuum limits, low flow rates, low
bottle heights, high power settings, extended power usage, power usage during
occlusion conditions (beeping tones), failure to sufficiently aspirate viscoelastic
prior to using power, excessively tight incisions, and combinations of the above
actions may result in significant temperature increases at incision site and inside
the eye, and lead to severe thermal eye tissue damage.
Good clinical practice dictates testing for adequate irrigation, aspiration flow, reflux,
and operation as applicable for each handpiece prior to entering eye.
Ensure that the tubings are not occluded during any phase of operation.
If the handpiece test chamber is collapsed after tuning, there is a potential of low
irrigation flow through the handpiece and may result in a fluidic imbalance. This, in
turn, may cause a shallowing or collapsing of the anterior chamber.
Avoid setting the patient above the FMS unless PEL is used. Operating with the patient
above the FMS without PEL adjustment will result in a lower irrigation pressure than
indicated on the display, and possible underventing.
Use of BSS* irrigating fluid bags other than those approved by Alcon for use in the
Active Fluidics* system can result in patient injury or system damage.
Improper handling or removal of dual irrigation handpiece tip from eye may cause
draining of the fluidics system.
CAUTIONS
• Modification of the equipment is NOT allowed without prior authorization
from the manufacturer. If this equipment is modified, appropriate inspection
and testing must be conducted to ensure continued safe use of the equipment.
• Avoid spilling BSS* irrigating solution, or moisture of any kind, around the
electrical handpiece connectors.
• Do not spray any liquid (i.e. cleaning solution or water) upward into the
console vents.
• Do not push or pull the unit by the display, the instrument tray, or the IV
pole. Wrapping around the rear and sides of the system is a handle provided
for moving the instrument. The unit should be pulled and not pushed,
especially over elevator and door thresholds.
Phaco handpieces are surgical instruments and must be handled with care. The
handpiece tip should not touch any solid object while in operation. Immediately
following surgery the handpiece must be thoroughly cleaned. Be sure handpiece
connector is completely dry before connecting it to console. For cleaning and
sterilization procedures, see the Directions for Use (DFU) supplied with the
handpiece.
WARNINGS!
If in the medical opinion of the physician a patient with a prion related disease
undergoes a high risk procedure, the instrument should be destroyed or be processed
according to local requirements.
Use of a phaco handpiece in the absence of irrigation flow and/or in the presence of
reduced or lost aspiration flow and/or sideways orientation of the Kelman* and OZil* 12
tips can cause excessive heating and potential thermal injury to adjacent eye tissues.
The U/S tips supplied in the Centurion* Vision System pack are only to be used on
an OZil* torsional handpiece. Each U/S tip is intended to be used only once per case,
and then disposed of according to local governing ordinances.
Mismatching U/S tips and infusion sleeves may create potentially hazardous fluidic
imbalances.
Directing energy toward non-lens material, such as iris or capsule, may cause
mechanical and/or thermal tissue damage.
Perform visual inspection of accessories for burs or bent tips prior to use.
8065752943 1.13
FOR REFERENCE ONLY
CAUTIONS
Never ultrasonically clean the phaco handpiece; irreparable damage may result.
Prior to sterilization, the phaco handpiece should always have the connector end
cap secured and placed in the sterilization tray. This will prevent damage to the
connectors and handpieces during handling, and especially during autoclaving.
The phaco handpiece and Intrepid* AutoSert* IOL Injector must be at room
temperature just before use. Allow the handpiece to air cool for at least 15
minutes after autoclaving; never immerse the handpiece in liquid when hot.
Do not operate the phaco handpiece unless the tip is immersed in BSS* sterile
irrigating solution or distilled water or is in surgical use. Irreparable damage to
the handpiece and tip can result if run dry.
Ensure that test chamber is filled with BSS* sterile irrigating solution before
tuning the phaco handpiece. Tuning a handpiece dry may result in premature tip
failure and breakage.
Quenching a hot handpiece in water can cause damage and will void warranty.
Ensure that handpiece tip is fully tightened to the handpiece. If not securely attached,
an error may be generated and/or inadequate tuning will occur. Ensure that the tip is
not too tight so that it can be removed after use.
Use of a tool other than tip wrenches supplied by Alcon may cause damage to the tip
and/or handpiece.
WARNING!
Poor clinical performance will result if tip is not secured tightly to the handpiece.
During any ultrasonic procedure, metal particles may result from inadvertent
touching of the ultrasonic tip with a second instrument. Another potential source
of metal particles resulting from any ultrasonic handpiece may be the result of
ultrasonic energy causing micro abrasion of the ultrasonic tip.
Prior to each procedure inspect the two O-rings where the tip screws onto the
Ultraflow* II I/A handpiece. If damaged or missing, replace the o-rings. If in doubt,
contact Alcon's Technical Services Department.
WARNINGS!
Use of non-Alcon surgical reusable or disposable I/A handpieces that do not meet
Alcon surgical specifications, or use of an Alcon handpiece not specified for use with
the Centurion* Vision System, may result in a fluidic imbalance. This, in turn, may
cause a shallowing or collapsing of the anterior chamber.
Exceeding the recommended level of 100 mmHg (133 hPa) with a 0.5 mm or larger
I/A tip may cause anterior chamber shallowing and/or incarceration or tearing of
posterior capsule.
It is important that only the proper size I/A tip be used when operating with maximum
vacuum. Only 0.2 mm or 0.3 mm I/A tips should be used with vacuum limits above
100 mmHg (133 hPa). I/A adjustable vacuum range is 0 - 700 mmHg (0 - 933 hPa).
The vitrectomy probe, a guillotine vitreous cutter, is intended for single use only.
Vitrectomy cutting performance may vary at high altitudes. Consult Alcon Technical
Service for additional information.
WARNINGS!
Do not test or operate vitrectomy probe unless tip of probe is immersed in BSS *
sterile irrigating solution or distilled water or is in surgical use. Irreparable
damage to the probe and tip can result if run dry.
Perform visual inspection of accessories for burs or bent tips prior to use.
Do not use vitrectomy probes that are not approved for use on Centurion* system.
After filling and testing, and before surgical use, verify that the probe is properly
actuating and aspirating. This may require lowering cut rate to achieve good
visualization. The port should always remain in open position in footpedal position 1.
If cutting port is partially closed while in position 1, replace the probe. Prior to entry
into the eye, and with tip of probe in sterile irrigating solution, the surgeon
should step on the footpedal for visual verification that the probe is cutting:
• If the cutter is observed to not fully close, or does not move when the probe
is actuated, replace the probe.
• If cutting port is partially closed while idle, replace the probe.
• If air bubbles are observed in the aspiration line or exiting the probe tip during
priming, replace the probe.
• If a reduction of cutting capability or vacuum is observed during the surgical
procedure, stop immediately and replace the probe.
8065752943 1.15
FOR REFERENCE ONLY
Intrepid* AutoSert* IOL Injector
CAUTIONS
• Do not ultrasonically clean the AutoSert* IOL Injector connector. Ultrasonic
cleaning will cause irreparable damage.
• Use care when handling AutoSert* IOL Injector, particularly when cleaning. Always
clean handpiece over a surface cushioned with a pad or rubber mat.
• Be sure handpiece cable connector is dry before connecting it to the console.
• Do not disconnect cable connector from Centurion* system console until the IOL
Injector plunger is fully retracted.
• Do not immerse the AutoSert* IOL Injector in any fluid when the plunger is not
retracted.
• As part of a properly maintained surgical environment, it is recommended that
a backup IOL injector be made available in the event the AutoSert* IOL injector
handpiece does not perform as expected.
WARNINGS!
• The Intrepid* AutoSert* IOL Injector is non-sterile and must be cleaned and sterilized
prior to, and immediately after, each use.
• Never immerse the IOL injector in liquid after autoclaving; allow it to air cool for at
least 15 minutes. Quenching could result in a potentially hazardous condition for
the patient.
• The AutoSert* IOL Injector delivery system is for the implantation of Alcon qualified
AcrySof* foldable IOLs. Unqualified lenses shall not be used with the system. See
Intrepid* AutoSert* IOL Injector DFU or AcrySof* IOL DFU, or contact your Alcon
representative, for qualified lens/cartridge combinations.
• The cartridge/IOL combination listed in the DFU, along with Alcon settings, has
been validated per section 5 of BS EN ISO 11979-3:2006. Appropriate use of injector
handpiece settings is important for successful IOL implantation. Inappropriate use
of settings may lead to a potentially hazardous condition for the patient.
• Fully retract plunger before detaching nosecone from AutoSert* IOL Injector;
otherwise, this could expose non-sterile portion of shaft and result in a potentially
hazardous condition for the patient.
• The metal reusable plunger must be sterilized after each use. The reusable plunger
is to be installed onto the handpiece or into the wrench prior to sterilization.
Aspiration/Vacuum Adjustments
Adjusting aspiration rates or vacuum limits above the preset values may result in
aspiration levels (volumes) exceeding irrigation inflow.
WARNING!
Adjusting aspiration rates or vacuum limits above the preset values, or lowering the
IOP or IV pole below the preset values, may cause chamber shallowing or collapse
which may result in patient injury.
WARNINGS!
When filling handpiece test chamber, if stream of fluid is weak or absent, good
fluidics response will be jeopardized. Good clinical practice dictates the testing for
adequate irrigation and aspiration flow prior to entering the eye.
Ensure that tubings are not occluded or pinched during any phase of operation.
Perform visual inspection of accessories for burrs or bent tips prior to use.
IV Pole
WARNINGS!
Keep clear of the IV pole when it is in motion to prevent skin, hair, and/or clothing
from being trapped in the IV pole mechanism. The IV pole moves during power on/
off, priming, and bottle height adjustment.
IV pole rises automatically. To avoid stretching drip chamber tubing, and possibly
pulling drip chamber out of bottle, tubing must hang freely with no interference.
When out of use, remove fluid bottle from IV pole and flip bottle hanger into its storage
position to avoid injury.
Empirical numbers for bottle heights are not a replacement for competent surgical
technique. The surgeon should visually and physically monitor intraocular pressure.
Footswitch
If required, the footswitch may be wiped with alcohol, mild soap and water, or any
germicidal solution that is compatible with the plastic parts.
WARNING!
Route the footswitch cable properly to avoid tripping.
CAUTIONS
Do not clean the footswitch using solvents, abrasives, or any cleaner that is not
compatible with plastic parts made of LEXAN EXL9112. Damage may result.
Never pick up or move the footswitch by the cable. Dropping or kicking the
footswitch can cause irreparable damage.
8065752943 1.17
FOR REFERENCE ONLY
Occlusion Tones
Two different occlusion tones (intermittent beeping tones during occlusion) indicate
that the vacuum is near or at its preset limit, and aspiration flow is reduced or stopped
to avoid exceeding the limit. The first type, the I/A occlusion tone, sounds when
occlusion occurs during aspiration only (in the absence of ultrasonic power). The
I/A occlusion tone is a lower, intermittent single beep. The second type of occlusion
tone, the phaco occlusion tone, is a higher, intermittent double beep, and sounds when
occlusion occurs during application of ultrasonic power.
The I/A occlusion and phaco occlusion tones indicate that the vacuum has reached its
maximum allowed preset value. The I/A occlusion tone can be turned off, while the
phaco occlusion tone cannot be turned off.
WARNINGS!
The phaco occlusion bell indicates no aspiration flow. Use of high phaco settings
and/or prolonged use may lead to thermal injury.
Use of the phaco handpiece in the absence of irrigation flow and/or in the presence
of reduced or lost aspiration flow can cause excessive heating and potential thermal
injury to adjacent eye tissues.
Vacuum Tone
A vacuum tone is provided. The pitch will vary relative to the amount of vacuum. A
high vacuum can indicate that little to no flow is occuring. This tone can be reduced
in volume, but not turned off.
WARNINGS!
A moderate to high vacuum tone may indicate little to no flow is occuring. Use of the
phaco handpiece in the absence of irrigation flow and/or in the presence of reduced
or lost aspiration flow can cause excessive heating and potential thermal injury to
adjacent eye tissues.
Do not exceed maximum capacity of drain bag (500 ml). Excessive pressure in drain
bag can result from exceeding its maximum capacity and potentially result in a
hazardous condition for the patient.
The Centurion* Vision System uses the word “Coagulation” in place of Cautery or
Diathermy, based on the following definition:
Listed below are general precautions to be followed when using the Coagulation function:
WARNINGS!
Do not use the coagulation function on patients with pacemakers or implanted
defibrillatory devices. If electrosurgery is used on patients with implanted cardiac
pacemakers or defibrillatory devices or pacemaker electrodes, be aware that
irreparable damage to the pacemaker or defibrillatory device and its function
may occur and lead to ventricular fibrillation. Please check with the pacemaker
or defibrillatory device manufacturers for their recommendations.
8065752943 1.19
FOR REFERENCE ONLY
VideOverlay System
WARNINGS!
Do not remove VideOverlay cover; there are no user-serviceable parts inside.
Refer servicing to qualified service personnel.
CAUTIONS
• Do not use multiple portable socket outlets with this system.
• Use only the Alcon-supplied serial cable to connect the Centurion* Vision
System to the VideOverlay System.
Consumable items used with the Centurion* Vision System during surgery are
designed to be used once and then discarded, unless labeled otherwise.
All Centurion* packs contain Directions for Use (DFU). It is important to read and
understand the DFU’s prior to use.
In all cases, the instrument setup instructions contained in the manual should be
thoroughly understood prior to using any of the pack configurations.
WARNINGS!
Mismatch of consumable components and use of settings not specially adjusted for
a particular combination of consumable components may create a patient hazard.
Sterile disposable medical devices should not be reused! These components have
been designed for one time use only; do not reuse.
Potential risk from reuse or reprocessing the following products labeled for single
use include:
• Bipolar Coagulation Instruments - Thermal injury or electrical shock caused by a
damaged bipolar instrument, and foreign particle introduction into the eye.
• Fluid Management Components - Fluid path leaks or obstruction resulting in reduced
fluidics performance, and foreign particle introduction into the eye.
• Phacoemulsification Tips - Reduced tip cutting performance, presence of tip burrs,
fluid path obstruction, and foreign particle introduction into the eye.
• Vitreous Cutting Instruments - Reduced vitreous cutting performance, fluid path
obstruction, and foreign particle introduction into the eye.
The equipment used in conjunction with the Alcon disposables constitutes a complete
surgical system. Use of disposables other than Alcon disposables may affect system
performance and create potential hazards, and if it is determined to have contributed
to the malfunction of the equipment under contract, could result in the voidance of
the contract and/or invoicing at prevailing hourly rates.
Perform visual inspection of accessories for burs or bent tips prior to use.
Do not use any Vitrectomy probes that have not been approved for use on the
Centurion* Vision System.
8065752943 1.21
FOR REFERENCE ONLY
PRODUCT SERVICE
For product service, please contact Alcon’s Technical Services Department at the
number provided below.
Operators experiencing problems with the system should refer to the Operating
Instructions and Troubleshooting sections of this manual. A problem which persists
should be referred to the Alcon Technical Services Department or your local
authorized service representative.
Safety performance should be verified by the user (e.g., qualified service personnel) at
least twice a year. Ground resistance, leakage current, and dielectric withstand voltage
must be checked to appropriate national standard.
Alcon will repair or replace at its option, any system or accompanying accessories
found to be defective in material and/or workmanship for a period of one (1) year
from the date of initial installation. This warranty applies to the original purchaser
of the system, when said system is properly installed, maintained, and operated in
accordance with published instructions.
Alcon shall not be obligated to provide services under this warranty for damage to
or destruction of systems covered where such damage or destruction is a result of
or caused by fire or explosion of any origin, riot, civil commotion, aircraft, war, or
any Act of God including, but not limited to lightning, windstorm, hail, flood or an
earthquake.
This warranty does not cover damage resulting from service repair or other alteration
by any person other than an Alcon-authorized service person, and any warranties
provided by Alcon with respect to this equipment shall become void and of no further
force and effect if this equipment is serviced by anyone other than Alcon-authorized
service personnel. In particular, Alcon shall have no obligation to replace, repair or
credit customer’s account for the cost of the equipment, which has been subject to
service or other alteration by persons other than Alcon-authorized service personnel.
The express warranty above is the sole warranty obligation of Alcon, and the
remedy provided above is in lieu of any and all other remedies. There are no other
agreements, guarantees, or warranties – oral or written, expressed or implied –
including , without limitation, warranties of merchantability or fitness for a particular
purpose. Alcon shall have no liability whatsoever for any incidental or consequential
damages arising out of any defect, improper use, or unauthorized service or repair.
WARNING!
The consumable products used in conjunction with ALCON* instrument
products constitute a complete surgical system. Use of consumable products
and handpieces other than those manufactured by Alcon may affect system
performance and create potential hazards. If it is determined that consumable
products or handpieces not manufactured by Alcon have contributed to the
malfunction of the equipment during warranty period, service will be provided
at prevailing hourly rates.
8065752943 1.23
FOR REFERENCE ONLY
Product Requirements Performance Requirements
Table 1-5 SPECIFICATIONS - This table is a quick reference point to identify basic system specifications,
system requirements, and performance figures.
Connector for
Equipotential ground connection INTREPID* Capsulotomy Device
ON (POWER)
T10.0AH/250V
Figure 1-2 ICONS USED WITH CENTURION* VISION SYSTEM - Icons identifying modes, functions,
etc., that are used with the Centurion* Vision System are identified in this chart. The icons shown on
this page are for reference only.
8065752943 1.25
FOR REFERENCE ONLY
REF
®
®
DANGER: RISK OF EXPLOSION IF USED IN THE SN
PRESENCE OF FLAMMABLE
ANESTHETICS.
Non-ionizing electromagnetic
radiation.
Use appropriate This device complies with part 15 of the FCC rules.
take-back system Operation is subject to the following two conditions:
(1) This device may not cause harmful interference,
and (2) this device must accept any interference
received, including interference that may cause
undesired operation.
WARNING: Dangerous Voltage FCC ID: VMCNGPFSW1
® IC: 7345A-NGPFSW1
GENERAL WARNING Contains:
FCC ID: RI7XE61
Manufacturer
IC: 5131A-XE61
ALCON LABORATORIES, INC.
For applicable patents, please see the ABOUT
6 2 0 1 S O U T H F R E E WAY
screen on the monitor during operation.
FORT WORTH, TX 76134-2099 USA
© 2013 Novartis MADE IN USA Contains:
FCC ID: N6C-SDMAN
IC: 4908B-SDMAN
215-2985-001 REV B
Label printed on rear panel of Centurion* Vision System Label located on rear panel of Centurion* Vision System
Figure 1-3A LABELING ON CENTURION* VISION SYSTEM - Labels used on the Centurion* Vision
System are illustrated here. The labels on this page are intended for reference only.
REF 8065751774
Manufacturer
IPX1 ALCON LABORATORIES, INC.
6 2 0 1 S O U T H F R E E WAY
Date of Mfg
FORT WORTH, TX 76134-2099 USA
© 2013 Novartis 0123 MADE IN USA
215-3061-001 REV A
REV
CONTAINS
215-1016-502 FCC ID: RI7XE61
IC: 5131A-XE61
REF 8065751762 REV
SN © 2013 Novartis 215-1994-001 REV. C
Figure 1-3B LABELING ON CENTURION* VISION SYSTEM - Labels used on the Centurion* Vision
System are illustrated here. The labels on this page are intended for reference only.
8065752943 1.27
FOR REFERENCE ONLY
12
10 100%
75%
POWER (W)
8 50%
25%
0
10 100 1000
LOAD (OHMS)
COAGULATION POWER GRAPH
12
10
8
POWER (W)
0
0 20 40 60 80 100 120
% POWER
POWER ACROSS 75 OHM LOAD
60
50
PEAK VOLTAGE (V)
40
30
20
10
0
0 20 40 60 80 100 120
% POWER
VOLTAGE (PEAK) OPEN CIRCUIT
Figure 1-4 COAGULATION POWER OUTPUTS - Set coagulation power at the intended output
control setting in the intended operating mode in reference to figures above.
Default Procedures
Default Procedure Procedure Description Default Steps
Procedure 1 Divide and Conquer PrePhaco, Sculpt, Quad, Epi, Cortex, Polish, Visco
Procedure 2 Phaco Chop PrePhaco, Chop, Epi, Cortex, Polish, Visco
Procedure 5 Vitrectomy Vitrectomy (Anterior Vitrectomy Mode),
Vitrectomy (Epinucleus Removal Mode),
Vitrectomy (Visco Aspiration Mode)
I/A Fluidics
Cortex Polish Visco Centration Toric
B/E Range 2 IOP 20/55 20/55 20/55 20/55 20/55
Control in Range 1 IOP Fixed Fixed Fixed Fixed Fixed
Control in Range 2 IOP Fixed Fixed Fixed Fixed Fixed
B/E Vacuum 0/500 0/20 0/650 0/650 0/650
Control in Range 2 Vacuum Linear Linear Fixed Fixed Fixed
B/E Asp Rate 0/35 0/10 0/50 0/50 0/50
Control in Range 2 Asp Rate Fixed Linear Linear Linear Linear
Vacuum Rise Time 0 0 0 0 0
8065752943 1.29
FOR REFERENCE ONLY
Phaco Fluidics
PrePhaco UltraChop Chop Sculpting Quadrant Epinucleus Flip
B/E/E IOP 20/55/55 20/55/55 20/55/55 20/55/55 20/55/55 20/55/55 20/55/55
Control in Range 1 IOP Fixed Fixed Fixed Fixed Fixed Fixed Fixed
Control in Range 2 IOP Fixed Fixed Fixed Fixed Fixed Fixed Fixed
Control in Range 3 IOP Fixed Fixed Fixed Fixed Fixed Fixed Fixed
B/E/E Vacuum 0/180/180 0/380/380 0/380/380 0/ 80/80 0/380/380 0/380/ 380 0/380/380
Control in Range 2 Vacuum Fixed Fixed Fixed Fixed Fixed Linear Fixed
Control in Range 3 Vacuum Fixed Fixed Fixed Fixed Fixed Fixed Fixed
B/E/E Asp Rate 0/30/30 0/40/40 0/40/40 0/ 23/23 0/40/40 0/30/30 0/40/40
Control in Range 2 Asp Rate Fixed Fixed Fixed Fixed Fixed Linear Fixed
Control in Range 3 Asp Rate Fixed Fixed Fixed Fixed Fixed Fixed Fixed
Vacuum Rise Time 0 0 0 0 0 0 0
Continuous Phaco
PrePhaco UltraChop Chop Sculpting Quadrant Epinucleus Flip
B/E Longitudinal 0/0 0/0 0/0 0/0 0/0 0/0 0/0
Control Longitudinal Linear Linear Linear Linear Linear Linear Linear
B/E Torsional 0/20 0/60 0/60 0/60 0/60 0/60 0/60
Control Torsional Linear Linear Linear Linear Linear Linear Linear
Pulsed Phaco
PrePhaco UltraChop Chop Sculpting Quadrant Epinucleus Flip
B/E Longitudinal 0/0 0/0 0/0 0/0 0/0 0/0 0/0
Control Longitudinal Linear Linear Linear Linear Linear Linear Linear
B/E Torsional 0/20 0/60 0/60 0/60 0/60 0/60 0/60
Control Torsional Linear Linear Linear Linear Linear Linear Linear
B/E Longitudinal DC 0/0 0/0 0/0 0/0 0/0 0/0 0/0
Control Longitudinal DC Fixed Fixed Fixed Fixed Fixed Fixed Fixed
B/E Torsional DC 0/80 0/80 0/80 0/80 0/80 0/80 0/80
Control Torsional DC Fixed Fixed Fixed Fixed Fixed Fixed Fixed
B/E Pulse Rate 1/20 1/20 1/20 1/20 1/20 1/20 1/20
Control Pulse Rate Fixed Fixed Fixed Fixed Fixed Fixed Fixed
Burst Phaco
PrePhaco UltraChop Chop Sculpting Quadrant Epinucleus Flip
B/E Longitudinal 0/0 0/0 0/0 0/0 0/0 0/0 0/0
Control Longitudinal Linear Linear Linear Linear Linear Linear Linear
B/E Torsional 0/20 0/60 0/60 0/60 0/60 0/60 0/60
Control Torsional Linear Linear Linear Linear Linear Linear Linear
B/E Longitudinal On 2/35 2/35 2/35 2/35 2/35 2/35 2/35
Control Longitudinal On Fixed Fixed Fixed Fixed Fixed Fixed Fixed
B/E Torsional On 2/70 2/70 2/70 2/70 2/70 2/70 2/70
Control Torsional On Fixed Fixed Fixed Fixed Fixed Fixed Fixed
B/E Off 2500/0 2500/0 2500/0 2500/0 2500/0 2500/0 2500/0
Vitrectomy Fluidics
Anterior Epinucleus Peripheral Visco I/A
Vitrectomy Removal Iridectomy Aspiration Cut
B/E/E Vacuum 0/350 0/500 0/350 0/650 0/350/500
Control in Range 2 Vacuum Linear Linear Linear Linear Linear
Control in Range 3 Vacuum N/A N/A N/A N/A Fixed
B/E/E Asp Rate 0/10 0/10 0/10 0/50 0/ 10/20
Control in Range 2 Asp Rate Fixed Linear Fixed Linear Fixed
Control in Range 3 Asp Rate N/A N/A N/A N/A Fixed
8065752943 1.31
FOR REFERENCE ONLY
THIS PAGE INTENTIONALLY BLANK
Description
Alcon’s Centurion* Vision System is a multi microprocessor-controlled ophthalmic
surgical instrument with associated memory and input/output (I/O) circuitry. The
system communicates to the user via its Front Panel display, with voice confirmations,
and with tones. An automatic self-test is initiated each time system power is turned
on.
When the system successfully completes the self-test, it automatically goes into the
Setup mode. If the system fails the self-test, an Event message is displayed.
This section of the manual is broken into two major parts. The first part describes the
console and its accessories. All the parts of the system will be described, including
the display panel, Active Fluidics* system, gravity fluidics system, connectors, fluidics
interface, footswitch, remote control, and VideOverlay system. The second part of
this section describes the operator interface. This is where the display screens for
system setup, surgery, programming, and dialogs are shown.
Trademark Note
A button, mode, or step labeled OZil*, AutoSert*, or UltraChop refers to a display
screen control used with an OZil* torsional handpiece, Intrepid* AutoSert* IOL
injector, or Alcon's UltraChopper* tip, respectively.
8065752943 2.1
FOR REFERENCE ONLY
CENTURION* VISION SYSTEM CONSOLE AND ACCESSORIES
DESCRIPTION OF CONSOLE
Fluidics Module
The fluidics module is located in the center of the front panel. The module allows
fast and easy insertion of the Fluidic Management System (FMS; i.e., cassette), and
because the module contains all the connections required, surgery can be started with
minimal delay.
Convenience Lamp
Handle Bar
Fluidics Module
IR Remote Control
Accessory Drawer
Adjustable Instrument Tray
Speakers (3)
Wireless Footswitch
Connectors for
Wired Footswitch
Figure 2-1 The Console - The console contains all the controls, connectors, and communication
devices required by the surgeon to perform cataract lens extraction surgery.
CAUTION
The maximum weight allowed on the instrument tray is 9.1 kg (20 lb.)
The Centurion* OZil* handpiece is recognized in the top two phaco handpiece
connectors; only the Infiniti* OZil* handpiece is recognized in the bottom. Only one
phaco handpiece can be connected at one time in either connector, unless the UltraChop
feature is enabled in which case the system will accept two phaco handpieces.
Fluidics Module
Vitrectomy Handpiece
INFINITI* OZil* Handpiece
Figure 2-2 The Front Panel Connectors - The front connector panel allow quick and easy connection
of handpieces and consumables.
8065752943 2.3
FOR REFERENCE ONLY
Standby Power Switch
This pushbutton switch is used to turn secondary power ON and OFF. If system
freezes and is unresponsive to operator commands, press Standby switch for five
seconds to shut down system, then re-boot.
Accessory Drawer
One drawer allows storage of miscellaneous accessories.
Audio Speakers
Three audio speakers are located on the front and each side of the console. These
speakers produce voice confirmations, in conjunction with multiple tones, to allow the
Centurion* Vision System to communicate with the user. Audible tones are generated
to indicate a change in the operating mode and to alert the operator of certain
conditions such as an occluded line. Additionally, a varied pitch tone is generated to
audibly indicate vacuum levels; the pitch increases as the vacuum level increases.
Speaker volumes are adjustable via the Custom menus.
Footswitch Hanger
Wireless Footswitch
Charging Station
Handle Bar
A handle bar wraps around the sides and back of the Centurion* Vision System, and
should always be used to move it.
CAUTION
The system must be moved carefully, otherwise it could tip over and become
damaged. Do not push or pull the unit by the display, the instrument tray, or the
IV pole. The handle bar is provided for moving the instrument. The unit should be
pulled and not pushed, especially over elevator and door thresholds.
The USB port is provided for Service functions and for backing up and restoring Dr.
memory. Plugging any other USB device into the port is not recommended.
8065752943 2.5
FOR REFERENCE ONLY
Rotating Work Surface
A versatile rotating work surface is provided on the top of the Centurion* Vision
System. When stowed, this work surface covers the Active Fluidics* bag bay and is
locked in place. When open it allows the user to lower a bag of irrigating fluid into
the bag bay.
To rotate the work surface and reveal the bag bay, press and hold the locking ring
while pressing sideways on the work surface (see left image in Figure 2-4). The right
image shows the work surface in the open position, allowing access to the bag bay.
Once open, the surface can be rotated until the mechanical lockout feature prevents
further rotation. When Active Fluidics* technology is used, this lockout feature
prevents inadvertent contact of the work surface against the bag of irrigating fluid and
its tubing. To return the work surface back to its stowed position, press and hold the
locking ring and press sideways on the work surface.
CAUTIONS
• The maximum weight allowed on the rotating surface is 4.55 kg (10 lb.)
• Work surface must not come in contact with bag of irrigating fluid.
Figure 2-4 Rotating Work Surface - To rotate working surface and gain access to the Active Fluidics*
bag bay, press down on locking ring and rotate work surface out of the way.
The Centurion* Vision system supports two types of fluidics administration to deliver and
control fluidics fluid pressure: Gravity Fluidics is used for fluid administration using the
power IV pole, and Active Fluidics* technology is an automated system that administers
fluid from a bag of irrigating fluid within its bag bay (see Figure 2-3).
This precise pressure control creates the opportunity to tailor IOP performance based
on surgical preference. There are two functions related to Active Fluidics* technology
which allow the surgeon to tailor IOP performance: Irrigation Factor and IOP Ramp.
These functions are described later in this section of the manual (Fluidics Controls).
WARNING!
Use of irrigating fluid bags other than those approved by Alcon for use in the Active
Fluidics* system can result in patient injury or system damage.
8065752943 2.7
FOR REFERENCE ONLY
DESCRIPTION OF FOOTSWITCH
The Centurion* Vision System utilizes the Centurion* footswitch (wireless or wired),
or can be used with the Laureate*, Constellation*, or Infiniti* wired footswitches (the
Constellation* and Infiniti* footswitches require a special cable to connect to the
Centurion* system). The Centurion* footswitch can be used wirelessly or can be wired
to the console, while the other footswitches must be wired. When the footswitch is
operated wirelessly, it retains the same functionality as it does when it is wired to the
system. The wireless footswitch is immune to interference from other wireless devices.
The footswitch icon button on the display screen is a graphical representation of the
footswitch connected. When connected, the current footpedal position (0, 1, 2, or
3) is displayed in the center of the icon, and a triangular arrow appears next to the
icon each time a switch is activated. If a footswitch is not connected, a wireframe
footswitch is shown in the status bar and no footpedal position is displayed.
Several functions within the system's operating modes are controlled by the surgeon
using the footswitch's footpedal and on/off toe switches (horizontal and vertical).
The footpedal enables the surgeon to control irrigation flow, aspiration rate, phaco
handpiece power, vitrectomy cutting, coagulation power, and IOL injection. The
switches are used to turn functions on/off, to adjust function settings, and to progress
through surgical steps.
The footswitch's footpedal and switch adjustments are programmable and are
available by pressing the Footswitch icon button at the top of the display screen, or by
selecting Custom/Doctor Settings/Footswitch (see Figure 2-7).
CAUTION
Never pick up or move the footswitch by the cable. Dropping or kicking the footswitch
can cause irreparable damage.
Footpedal
Left LED
Connection Status
Right LED
Battery Status
Depending on the surgery step, the user may have the option to select linear or
fixed footpedal control of a surgical parameter (i.e., aspiration, vacuum, power,
coagulation). With linear footpedal control, the angle of depression within the pedal
range is directly proportional to the parameter output. The parameter output is 0 at
POSITION 0
resting position
POSITION 1
DAL detent 1
TPE
FOO POSITION 2
detent 2
POSITION 3
full footpedal depression
FOOTSWITCH ASSEMBLY
Table 2-1 Table of Footpedal Positions - The footpedal is used by the surgeon to control several
surgical functions. This table shows the functions controlled, dependent on mode of operation
and type of irrigation selected. As the footpedal is depressed it travels from the resting position
into its active positions.
8065752943 2.9
FOR REFERENCE ONLY
the very start of the treadle range, and the parameter output is equal to the limit value
specified at the end of the treadle range. With fixed footpedal control, the parameter
output is fixed at its limit value throughout the treadle range.
Detent
Footpedal detents identify the transition from one footpedal position to another. When
turned On, the footpedal vibrates when pressing through the detent from one position
into the next. The vibration power can be adjusted up and down with the two Strength
arrow keys.
If the footpedal is not depressed, any mutually exclusive switch may be engaged. If
the footpedal is depressed, certain switches may or may not be allowed to engage.
Button Assignment
Footswitch button assignments are programmable and are available by pressing
the Footswitch icon button at the top of the display screen, or by selecting Custom/
Doctor Settings/Footswitch (see Figure 2-7). From this screen, press one of the blue
oval buttons next to the footswitch and select a function from the dropdown list (see
Figure 2-8).
The left horizonal switch is the only switch with a factory default action: Reflux. The
Reflux function can be selected for another switch, allowing the left horizontal switch
to be given another function. The Reflux function must always be assigned to a switch.
The other three switches are listed as None by default, their functions are mutually
exclusive, and each must be programmed by the user.
When a switch is given a function already designated to another switch, the other
switch is given a None designation. There are 15 choices, and they are None, Reflux,
Continuous Irrigation, Step +, Step -, Step +/-, Procedure +, Procedure -, Procedure
+/-, Vit Cutter, Toggle SGS, Toggle Video Overlay, Irrigation Pressure +, Irrigation
Pressure -, Irrigation Pressure +/-. The slide bar to the right of the selections is used to
expose the bottom five selections.
• None - This selection is made to eliminate functionality from the toe switch.
• Reflux
The Reflux switch has dual functionality. In most modes of operation the switch
function is Reflux, while within the AutoSert* injector step the switch function is to
Retract the plunger. At least one toe switch must be dedicated to the Reflux function.
8065752943 2.11
FOR REFERENCE ONLY
Reflux: The default reflux pressure is equal to the current bottle height IOP
pressure. The reflux pressure can be increased using the Reflux Offset control in
the Custom/Doctor Settings/Fluidics menu. In all cases, reflux is not available
when the footpedal is depressed, and is not available in a Coagulation step.
Retract: In the AutoSert* injector step this switch moves the plunger in a reverse
direction. Control of this function is not allowed while the footpedal is depressed.
• Continuous Irrigation
Delegating Continuous Irrigation to a switch on the footswitch allows the user to turn
Continuous Irrigation on and off, whether or not it is enabled for the selected doctor.
• Step +, Step –
A switch may be assigned as step advance (Step +) or step back (Step –). The Setup,
Coagulation, and Anterior Vitrectomy steps are excluded from this stepping sequence.
If step advance or step back is assigned, when the switch is pressed, the next or
previous step to the current step is selected in the surgery menu.
• Step +/–
This switch assignment is used to step advance by pressing and releasing the switch,
or to step back by pressing and holding the switch. This switch will not enter the
Coagulation or Anterior Vitrectomy steps, but if pressed in a Coagulation or Anterior
Vitrectomy step, the system returns to the last-used step.
• Procedure +, Procedure –
A switch may be assigned to advance to the next procedure (Procedure +) or go back
to the preceding procedure (Procedure –). If procedure advance or procedure back is
assigned, when the switch is pressed, the next or preceding procedure to the current
procedure is selected.
• Procedure +/–
This switch assignment is used to advance to the next procedure by pressing and
releasing the switch, or go back to the preceding procedure by pressing and holding
the switch.
• Vit Cutter
When in Anterior Vitrectomy mode of operation, a selected footpedal button can be
assigned the function of enabling and disabling the vitrectomy cutter function.
• Irrigation Pressure +/- When using gravity fluidics, this switch assignment is used
to increase irrigation pressure by pressing and releasing the switch, and to reduce
irrigation pressure by pressing and holding the switch. This toe switch assignment is
not functional when Active Fluidics* technology is in use.
8065752943 2.13
FOR REFERENCE ONLY
Footswitch Status LEDs
Two LEDs, one on the left and one on the right of the footpedal heel, illuminate to
indicate footswitch status. The following table shows the LED display patterns with
respect to the footswitch's operation state.
* LEDs remain on/blinking for a few seconds after disengagement of the footswitch; i.e., not
pressing on the footpedal or any of the footswitch buttons.
The weight of the surgeon's foot on the footswitch causes the spring-loaded
ball plungers to collapse, allowing the footswitch to rest on its rubber sole, thus
preventing it from sliding on the floor. The tension of the spring-loaded ball plungers
is adjustable to the surgeon's preference using a wide, flat-tip screwdriver. Simply
place the screwdriver directly on top of the ball and press down until the screwdriver
tip settles into the screw slot, then turn clockwise or counterclockwise to increase or
decrease the spring tension.
Spring-Loaded Ball Plungers
Rubber Sole
Reset Switch
Footswitch Connectors
Centurion*
Laureate*
Constellation*
Infiniti*
8065752943 2.15
FOR REFERENCE ONLY
DESCRIPTION OF IR REMOTE CONTROL
The IR remote control for the Centurion* system can be used in one of two ways.
It can be cradled in the curved metal rods that extend from the instrument tray, and
operated under the sterile tray support cover supplied in the disposable pack; this
offers the Scrub Nurse or Sterile Assistant access to the controls from the sterile field.
Alternatively, the Circulating Nurse can operate the remote control outside the sterile
field. Programmability and custom user setup features are functions which are not
accessible from the remote control.
CAUTION
Do not sterilize the remote control as it will damage the unit.
Pressing the Remote Control button icon in the upper Status Panel displays the remote
control's six snap navigation buttons (A, B, C, D, E, and F) as an overlay on the
current screen (white letters in center of black buttons, see Figure 2-40).
Parameter Value
Adjustment Keys
Enter Key
Figure 2-11 IR Remote Control - The remote control fits securely on the instrument tray and allows
rotation in any orientation. The sterile tray support cover is then draped over the remote and tray to
maintain the sterile field.
Figure 2-12 Remote Control Snap Keys- Remote control snap keys A through F appear as small
black buttons when the Remote Control icon button at the top of the screen is pressed. In this case
the Remote Control B key was pressed to activate the Torsional (%) setting, as indicated with a yellow
border. Pressing the remote + and – keys changes the torsional % value.
8065752943 2.17
FOR REFERENCE ONLY
• Parameter Value Adjustment Keys (+, –)
The remote control Parameter Value Adjustment up/down keys affect settings in
the Surgery Control Window that have adjustment arrows (i.e., power, vacuum,
aspiration) and the linear/fixed toggle buttons. When a surgical parameter is selected
via the Parameter Selection button or remote control, a yellow border indicates that
the item is selected; the Parameter Value Adjustment up/down keys can then be used
to adjust its value.
In the Setup Screen, when a Prv key or Nxt key is used to move to a Setup Step
button, the button will be highlighted, but the Enter key must be pressed to activate
the button.
In the Surgery screens, when a step is selected using the Prv key or Nxt key on the
remote control, the step is immediately selected. The Navigation keys move the
remote focus to the left or right, wrapping when the end is reached.
• Enter Key ( )
The remote control Enter key is used to execute a selection after highlighting the
selection with the remote's Prv and Nxt Navigation keys.
A battery holder inside the remote holds two (2) AA batteries. To replace batteries,
remove the battery cover from the bottom of the remote. Replace old batteries (see
Figure 2-13) and replace cover. Dispose of batteries following local governing
ordinances and recycling plans.
–
+
+ –
To select a remote channel, press the Custom key and select System Settings/General
tab. Select the Change Remote Channel button and follow the on-screen instructions
(see Figure 2-14). No additional steps are needed once the remote channel is set, and
only one remote channel is stored per unit.
CAUTION
Do not sterilize the remote control as it will damage the unit.
8065752943 2.19
FOR REFERENCE ONLY
HANDPIECES, TIPS, AND INFUSION SLEEVES
Different handpieces, tips, and infusion sleeves are required for different procedural
steps and/or functions. A full selection of handpieces, along with tip styles and sizes
are available. Please contact your Alcon representative for information regarding the
appropriate handpieces, tips, and infusion sleeves for your specific technique and needs.
Phaco Handpieces
Alcon's phaco handpieces integrate irrigation, aspiration and emulsification (see
Figures 2-15 & 2-16). The three functions of the lens extraction step enable the
surgeon to simultaneously maintain or inflate the anterior chamber, emulsify the lens,
and aspirate the lens material from the eye.
These handpieces require no disassembly other than removal of the disposable tubing,
the ultrasonic tip, and the infusion sleeve.
N
TURIO
CEN
CAUTIONS
Do not test or operate a phaco handpiece unless the tip is immersed in sterile
irrigating fluid or distilled water or is in surgical use. Irreparable damage to the
handpiece and tip can result if run dry.
Ensure that test chamber is filled with sterile irrigating fluid before tuning the
phaco handpiece. Tuning a handpiece dry may result in premature tip failure and
breakage.
WARNINGS!
Use of a phaco handpiece in the absence of irrigation flow and/or in the presence of
reduced or lost aspiration flow can cause excessive heating and potential thermal
injury to adjacent eye tissues.
8065752943 2.21
FOR REFERENCE ONLY
TurboSonics* Family of Tips
U/S tips are made of medical grade titanium alloy, and are attached to a phaco
handpiece to deliver mechanical energy to the lens, assisting in its removal by
aspiration (with the exception of Alcon's UltraChopper* tip – see below). Depending
on the needs and technique preferred by the surgeon, various styles of tips and tip
bevels are available (see Figure 2-17). Various U/S tip styles are color coded.
• 0.7 mm and 0.9 mm U/S Tips - The 0.7 mm and 0.9 mm ultrasonic tips are
designed to allow entry through a smaller incision. The 0.7 mm U/S tips are
designed for use only with 0.7 mm infusion sleeves; the 0.9 mm U/S tips are
designed for use only with 0.9 mm infusion sleeves.
• Aspiration Bypass System - The ABS* tip contains a small hole in the distal
portion of the tip’s wall. This helps to maintain fluid flow through the system even
during occlusion of the tip’s main port.
• Alcon's UltraChopper* Tip - This 0.9 mm U/S tip is designed for pre-chopping
only. It is not designed to aspirate lens material.
WARNINGS!
Use 0.7 mm tips with 0.7 mm infusion sleeves; use 0.9 mm tips with 0.9 mm
infusion sleeves. Mismatch of consumable components and use of settings not
specially adjusted for a particular combination of consumable components may
create a patient hazard.
Standard U/S Tip - The TurboSonics* tip with the Kelman* Tip - The Kelman* tip has a bent shaft
round shaft is the original, classical U/S tip shape. which generates torsional ultrasound motion, in addition
to the conventional longitudinal motion, to enhance cutting
efficiency. In addition, the 20 degree bend allows better
visibility during the surgical procedure.
OZil* 12 Tip - Similar to the Kelman* tip, except its bend
is 12 degrees instead of 20. This smaller bend maintains
good torsional cutting efficiency with similar ergonomics
to a straight tip.
Figure 2-17 TurboSonics* Tips - Shown here are samples of handpiece tips used with Alcon phaco
handpieces.
Depending on the needs and technique preferred by the surgeon, various styles of
infusion sleeves are available.
INFUSION SLEEVE
CENTURION
• Standard MicroSmooth* Infusion Sleeves - These are the original infusion sleeves.
Standard infusion sleeves are 0.9 mm (purple), to be used with 0.9 mm tips.
• Intrepid* Ultra Infusion Sleeves - Ultra infusion sleeves have a smaller shaft
diameter than original infusion sleeves. The smaller shaft diameter of the Ultra
infusion sleeves is compatible with a 2.2 mm incision. Ultra infusion sleeves are
available in 0.9 mm (rose) and 0.7 mm (yellow). Refer to consumable pack DFU
for compatible tips.
• Intrepid* Nano Infusion Sleeves - Nano infusion sleeves have a smaller shaft taper
and proximal outer diameter than Ultra infusion sleeves. The smaller proximal
OD and decreased taper of the Nano sleeves are compatible with a smaller 1.8 mm
incision. Nano infusion sleeves are available in 0.9 mm (orange) and 0.7 mm
(gray). Refer to consumable pack DFU for compatible tips.
WARNINGS!
Use 0.7 mm tips exclusively with 0.7 mm infusion sleeves; use 0.9 mm U/S tips
exclusively with 0.9 mm infusion sleeves. Mismatching U/S tips and infusion
sleeves may create potentially hazardous fluidic imbalances.
Mismatch of consumable components and use of settings not specially adjusted for
a particular combination of consumable components may create a patient hazard.
Read all packaging and Directions for Use supplied with the consumable packs
prior to their use.
8065752943 2.23
FOR REFERENCE ONLY
Ultraflow* II I/A Handpiece
The Ultraflow* II handpiece is used in I/A mode to maintain chamber pressure with
irrigation while removing cortical material via aspiration (see Figure 2-19). Refer to
the Ultraflow* II I/A Handpiece DFU for more information.
WARNINGS!
Use of non-ALCON* surgical reusable or disposable I/A handpieces that do not
meet Alcon surgical specifications, or use of an Alcon handpiece not specified
for use with the Centurion* Vision System, may result in a fluidic imbalance. This,
in turn, may cause a shallowing or collapsing of the anterior chamber.
Exceeding the recommended level of 100 mmHg (133 hPa) with a 0.5 mm or larger
I/A tip may cause anterior chamber shallowing and/or incarceration or tearing of
the posterior capsule.
Perform visual inspection of accessories for burrs or bent tips prior to use.
TM
The Intrepid* AutoSert* IOL Injector is intended to deliver qualified AcrySof* intraocular
lenses into the eye following cataract removal (see Figure 2-20). The IOL injector,
after proper preparation with a loaded, single use cartridge, gives the surgeon footpedal
control of AcrySof* lens insertion. The IOL injector supports the D/C cartridge or
Intrepid* cartridge and associated lenses. Please refer to the Intrepid* AutoSert* IOL
Injector DFU for qualified cartridge/IOL combinations.
The AutoSert* Injector step does not appear at the bottom of the surgery screen until it
is added through the Custom/Procedure Builder dialog.
When connected, the Centurion* system begins calibrating the IOL injector, and if
successful, it becomes ready for use, changing its icon in the adjustment bar from
gray to green.
The IOL injector comes with a detachable and reusable plunger. Please refer to the
Intrepid* AutoSert* IOL Injector DFU for instructions on proper preparation and use of
the handpiece and plunger.
Figure 2-20 Intrepid* AutoSert* IOL INJECTOR - The AutoSert* Injector gives the surgeon
footpedal control of IOL insertion (single use cartridge with lens not shown).
CAUTIONS
• Do not ultrasonically clean the AutoSert* IOL Injector connector. Ultrasonic
cleaning of connector will cause irreparable damage.
• Use care when handling AutoSert* IOL Injector, particularly when cleaning. Always
clean AutoSert* IOL Injector over a surface cushioned with a pad or rubber mat.
• Be sure AutoSert* IOL Injector cable connector is dry before connecting it to console.
• Do not immerse AutoSert* IOL Injector in any fluid when plunger is not retracted.
• Do not disconnect cable connector from Centurion* system console until the
AutoSert* IOL Injector plunger is fully retracted.
• As part of a properly maintained surgical environment, it is recommended that
a backup IOL injector be made available in the event the AutoSert* IOL injector
handpiece does not perform as expected.
The Centurion* system supports the 23 gauge Centurion* UltraVit* vitrectomy probe
(see Figure 2-21). The probe is a sterile, single-use, vitreous cutter which provides
for aspiration and cutting. An irrigating cannula is provided in each pack to allow for
bimanual irrigation.
The 23 gauge Centurion* UltraVit* probe supports higher cut rates by utilizing an
additional pneumatic actuation line.
Irrigation Tubing
From Centurion*
Fluidic Management
Centurion* UltraVit* Probe System (FMS)
Male Luer Female Luer
Aspiration Tubing
Gray Fitting
Clear
Pneumatic Tubing Connect to Centurion*
Front Connector Panel
Black Fitting
Black Striped
Figure 2-21 VITRECTOMY PROBES - The 23 gauge Centurion* UltraVit* probe operates
at up to 4000 cpm and utilizes two pneumatic lines. The probe is packaged with an
irrigating cannula.
After filling and testing, and before surgical use, verify that the probe is properly
actuating and aspirating. This may require lowering cut rate to achieve good
visualization. The port should always remain in open position in footpedal position 1.
If cutting port is partially closed while in position 1, replace the probe. Prior to entry
into the eye, and with tip of probe in sterile irrigating solution, the surgeon
should step on the footpedal for visual verification that the probe is cutting:
• If the cutter is observed to not fully close, or does not move when the probe
is actuated, replace the probe.
• If cutting port is partially closed while idle, replace the probe.
• If air bubbles are observed in the aspiration line or exiting the probe tip during
priming, replace the probe.
• If a reduction of cutting capability or vacuum is observed during the surgical
procedure, stop immediately and replace the probe.
8065752943 2.27
FOR REFERENCE ONLY
FLUIDIC MANAGEMENT SYSTEM
Description
The Fluidic Management System (FMS; i.e., cassette) is an interface between
the Centurion* console (Fluidics Module) and the surgical handpiece (see Figure
2-22). It is used to regulate irrigating fluid to the handpiece, aspirate debris from
the handpiece, monitor irrigation and aspiration pressure, and deposit the debris
in a sealed drainage bag for disposal. This single assembly contains a rigid plastic
fluidic chamber, non-invasive pressure/vacuum sensor, drain bag, irrigating fluid
administration line, and irrigation and aspiration handpiece tubing.
Two types of FMS can be used with the Centurion* Vision System. For Active Fluidics*
technology the FMS has short, clear tubing with an irrigation spike that plugs into a
bag of irrigating fluid. For Gravity Fluidics the FMS has long, clear tubing with a drip
chamber that plugs into a container of irrigating fluid hanging from the IV pole.
Blue connector on
aspiration tubing
Spike on end of
BSS* irrigating fluid
administration line is
for Active Fluidics* technology.
Drain Bag
Figure 2-22 Fluidic Management System - The FMS is inserted into the Fluidics Module
on the front of the console to establish fluidics system connections. Shown here is the
FMS for Active Fluidics* technology; the FMS for gravity fluidics contains longer irrigation
tubing and a spiked drip chamber at the end of the irrigating fluid administration line.
Please contact your Alcon Sales representative for complete up-to-date listings, and
for in-service information prior to initial use of Alcon packs. All Centurion* packs
contain Directions for Use (DFU). It is important to read and understand the DFU's
prior to use.
In all cases, the instrument setup instructions contained in the manual should be
thoroughly understood prior to using any of the pack configurations.
WARNINGS!
Mismatch of consumable components and use of settings not specially adjusted for a
particular combination of consumable components may create a patient hazard.
Sterile disposable medical devices should not be reused! These components have
been designed for one time use only; do not reuse.
8065752943 2.29
FOR REFERENCE ONLY
Centurion* Fluidic Management System Packs
When performing a phacoemulsification procedure, one-of-two Centurion* FMS packs
with handpiece tip is used. One FMS pack is specific for Active Fluidics* technology,
(when using bag of irrigating fluid in the bag bay) and the other is for gravity fluidics
(when using container of irrigating fluid hanging from IV pole). The pack can contain
all the items listed below:
• U/S Tip with Tip Holder/Wrench - The tip attaches to the ultrasonic
handpiece. Securely tighten the tip with the all-in-one tip/wrench assembly,
then remove the wrench from the tip. Several tip designs are available.
• Infusion Sleeve - This single-piece silicone sleeve fits over the handpiece
tip to provide irrigating fluid into the eye, protection to the surrounding
tissues, and fluidic balance. Two infusion sleeves are provided; one to be
used with the phaco handpiece/tip, and a second to be used with the I/A
handpiece/tip.
• Test Chamber - The test chamber is a small elastomeric cap that fits over
the handpiece tip to facilitate a functional irrigation and aspiration check
of the handpiece and instrument prior to surgery.
• I/A Tip Wrench - A separate wrench is required to securely fasten the I/A tip
to its handpiece, and also to remove the tip when the surgery is completed.
• Tray Support Cover - The tray support cover is a sterile plastic bag that is
placed around the instrument tray and support arm. The cover is used to
form a pouch in the tray to provide storage for the handpiece and tubing
during surgery.
• Directions for Use (DFU) - Instructions for setup and removal of pack
contents (not shown).
Overview
The VideOverlay system accepts operating parameters from the Centurion* Vision System
and overlays that information onto video accepted from the microscope camera (see Figure
2-23). The VideOverlay system then outputs a video signal to a monitor and/or VCR for
retrospective viewing.
For a complete description of the High Definition VideOverlay system, please refer to the
operator's manual addendum which accompanied the High Definition VideOverlay system.
The VideOverlay system is powered by an external power supply. The external power supply
can operate from a 100 VAC to 240 VAC source, and provides an output of 12 VDC at 1.25
amps to power the VideOverlay system.
WARNINGS!
• Do not remove VideOverlay cover; there are no user-serviceable parts inside. Refer
servicing to qualified service personnel.
• Patient environment defines a volume in which intentional or unintentional contact can
occur between the patient and parts of the equipment or between the patient and other
persons touching parts of the equipment. Please ensure that the VideOverlay system is
outside the patient environment.
CAUTIONS
• Do not use multiple portable socket outlets with this system.
• Use only Alcon-supplied serial cable to connect Centurion* Vision System to VideOverlay
system.
PRECAUTIONS:
• This unit is not a medical device and should be located/stored with other video equipment
(i.e., VCR, monitor, etc.).
• When connected to the Centurion* Vision System, the VideOverlay system does not increase
the leakage current of the Centurion* Vision System.
• The VideOverlay system is for information purposes only, and is not intended to substitute for
the Centurion* Vision System display.
MMC Sensor
On = MMC Card Detected NTSC Video Source
Off = MMC Card Not Detected
8065752943 2.31
FOR REFERENCE ONLY
Setup For Standard VideOverlay System
1. Ensure electric power to all systems is turned OFF. Attach the 12 V end of the external
power supply to the VideOverlay system.
2. Attach the appropriate wall outlet adapter (USA, United Kingdom, Australia, or Europe)
to the AC end of the external power supply, and plug it into an appropriate wall outlet
(see Figure 2-25).
3. The VideOverlay system can operate using either Composite Video inputs/outputs or
S-Video inputs/outputs. Appropriate cables should be used to configure the VideOverlay
system. Connect the microscope camera output to the Composite or S-Video input of the
VideOverlay system (see Figures 2-24 & 2-26).
PRECAUTION: If the microscope camera output has an RCA or BNC connector, connect
the camera output to the VideOverlay Composite input. Do not use an adapter cable to
connect the camera output to the VideOverlay S-Video input or loss of color will occur.
5. With the video output connected to a monitor, turn the monitor and microscope camera
power ON, and leave the VideOverlay system power OFF. If the video input and output
cables are connected properly, the microscope camera image will appear on the monitor.
6.
Connect the serial cable between the VideOverlay system and Centurion* Vision System.
7. Turn Centurion* Vision System power ON. Turn VideOverlay system power ON with its
rear panel switch. The MMC light and either the PAL or NTSC Video source light should
be illuminated (if not illuminated, check power supply connections).
8. With the Centurion* system touchscreen interface running, make sure the Send & Receive
light blinks (if not blinking, check serial cable).
9. Observe the monitor video display. If the system does not operate correctly, contact an
Alcon Technical Service representative.
COMPOSITE S-VIDEO
VIDEO
INFINITI™ POWER
ON
12VDC
IN OUT IN OUT 1.25A
OFF
Camera
Eye
ON
12VDC
External
1.25A
IN OUT IN OUT OFF
Power Supply
VideOverlay Rear Panel
VCR output
VCR to Monitor input ®
Monitor
8065752943 2.33
FOR REFERENCE ONLY
HD Camera
with Component Video
Eye
Centurion* Vision System Rear Panel
To Wall Outlet
Monitor
HD VideOverlay
The Centurion* Vision System front display panel and touch screen has a flat, non-
glare surface, and is mounted above the console. For ease of viewing the display
panel swivels and rotates, and it folds down into a protected position for storage.
Control buttons are located within the active touch screen area. There are three basic types
of pushbuttons on the display screen: up/down arrow buttons, momentary buttons, and
slider buttons. The user can press and hold the up/down arrow buttons until the desired
adjustment is complete, he can press the momentary buttons with a single push-and-
release to activate a function, and he can press and hold slider buttons while moving the
slider until the desired adjustment is complete.
The Centurion* Vision System emits an audible tone to indicate button activation.
Activation of a valid touchscreen button or remote control button results in a valid key
tone; an invalid button results in an invalid key tone, and sometimes its icon symbol is
ghosted to indicate an invalid function.
There are three types of display screens: the Setup screen, Surgery screens, and Dialogs.
• The Setup screen is used to prepare for surgery; i.e., priming the fluidic
management system and testing the handpiece.
• Surgery screens contain special surgical settings for each of the current surgical
procedures. Pressing the touch screen buttons (or footswitch or remote control)
allows the user to adjust the settings for his current step.
• Dialogs are displayed as a result of selecting an option from the Custom drop
list (i.e., Doctor Settings, System Settings, Procedure Builder, etc.) or pressing
the CDE or Remote buttons. Dialogs enable the user to view and modify system
settings, doctor settings, and some surgical settings. There is another class of
dialogs that are displayed when the user needs to be advised or warned of a
situation, or to indicate progress on a function in the Setup screen.
Initialization Screen
Surgery Screens
†
These individual steps can be inserted into the bottom row of steps in a surgery screen using the Custom / Procedure Builder menu.
Figure 2-28 Navigating the Centurion* Vision System User Screens
8065752943 2.35
FOR REFERENCE ONLY
SETUP SCREEN AND ITS FUNCTIONS
The Setup screen is divided into three sections. At the top is the Status Panel, below
that is the Setup Status Window, and below that are the Setup Steps.
1. Status Panel
The Status Panel (labeled 1 in Figure 2-29) consists of buttons and readouts that are
used to set up the system and then perform surgery. The Status Panel contains the
same data in both the Setup screen and the Surgery screens, discussed later.
3. Setup Steps
Figure 2-29 Functional Areas of the Setup Screen Using Active Fluidics* technology
At the bottom of the list is the Manage Doctors selection which allows the user to
add a new doctor to the list, copy a doctor's settings to a new doctor name, rename a
doctor, and delete a doctor from the list. The doctors are listed with the most-recently-
selected doctor in the top position, immediately below Alcon Settings.
An asterisk is placed next to the doctor name if there are unsaved changes to surgical
parameters. For Alcon Settings only, an asterisk appears if there are changes to doctor
settings, but not if the only change is the addition or removal of steps.
WARNING!
Ensure that appropriate Centurion* system parameters and system settings are
selected prior to starting the procedure. Parameter and system settings include, but
are not limited to, mode, power, vacuum, aspiration flow rate, etc.
8065752943 2.37
FOR REFERENCE ONLY
Manage Doctors…
When Manage Doctors is selected from the Doctor Name drop list in the Status Panel
(see Figure 2-30), a dialog window appears with a window for the addition of new
doctors (see Figure 2-31). Pressing the New Doctor button in the dialog prompts an
alphanumeric keypad to appear upon which a new doctor name can be typed and
accepted by pressing the Confirm () button (see Figure 2-32).
A doctor name with preprogrammed settings can be selected and modified from the
Manage Doctors dialog by pressing one of the following buttons (see Figure 2-33):
• Copy Doctor - An alphanumeric keypad appears where the settings used by the
selected doctor can be copied to a new doctor name.
• Rename Doctor - An alphanumeric keypad appears where the selected doctor
name can be changed.
• Delete Doctor - A dialog appears allowing the user to delete the selected doctor
name and its settings.
8065752943 2.39
FOR REFERENCE ONLY
1.2 Procedure Type Button
The Procedure Type button in the Status Panel displays the currently-selected surgical
procedure name for the currently-selected doctor name. When pressed, this button
displays a drop list of the available procedures, named Procedure 1, Procedure 2,
etc. (see Figure 2-36). When a procedure is selected, the drop list collapses and the
procedure is selected.
The bottom button in the list, Manage Procedures…, is available when a doctor
other than Alcon Settings is selected. When pressed, the system transitions to the
Setup screen and opens the Manage Procedures dialog (see Figure 2-37). If there are
unsaved changes to the current procedure, a dialog to save or discard the changes is
presented, or the user can cancel the operation (X). The Manage Procedures dialog
allows the user to adjust the following:
Copy Procedure - Pressing this button opens the Procedure Names dialog to select a
new procedure name (see Figure 2-38). When a new procedure name is selected, the
new procedure is highlighted and it becomes the currently-selected procedure (see
Figure 2-39).
Edit Procedure Comments- The Edit Procedure Comments dialog appears, along
with an alpha-numeric keypad, allowing the user to modify the comments under the
selected procedure name.
Import Procedure From Doctor - The Import Procedure dialog allows the user to
copy a doctor's procedure to a new doctor name. After confirmation, the last imported
procedure is highlighted, and that procedure becomes the currently-selected procedure.
Rename Procedure - Opens the Procedure Names dialog so the user can select another
name from the list.
8065752943 2.41
FOR REFERENCE ONLY
1.3 Remote Control Button
Pressing the Remote Control button icon in the Status Panel displays the remote
control's six snap keys (A, B, C, D, E, and F) as an overlay on the current screen
(white letters in center of black buttons, see Figure 2-40). This feature shows the
user which buttons to press on the remote control to quickly navigate around the
screen. Pressing the button again dismisses the overlay. The overlay is automatically
dismissed after 60 seconds, upon a step change, or upon transition between the Setup
Screen and Surgery Screen.
Snap Button A
Snap Button B
Snap Button D
Snap Button C
Snap Button E
Snap Button F
Figure 2-40 Remote Control Snap Navigation Buttons in Continuous Phaco Mode.
• The rectangular FMS icon is colored pink when unprimed, and it is green when
primed. A label above the FMS icon indicates the type of FMS inserted into the
fluidics module (Active FMS or Gravity FMS or Calibration), or it is blank if an
FMS is not present. The label is red if FMS is not primed, and green when primed.
• The three handpiece ports are plain when no handpiece is connected, and colored
when a handpiece is connected (see Table 2-3). The name of the connected
handpiece (Phaco, PhacoT, UltraChop, UltraChopT, AutoSert*, AutoSertT, Not Used,
Unknown, or blank if a handpiece is not present. AutoSert* not available in Infiniti*
handpiece port 3) is printed to the right of its associated port. The handpiece name is
printed red if the handpiece is not ready for use (not tested) and green when ready.
The side switches on the footswitch button icon become animated, and the system
Centurion*
The information below applies to the Centurion* wireless footswitch, and does not
Laureate*
apply to the Laureate*, Constellation*, or Infiniti* footswitches.
• A Footswitch Battery Status vertical bar, next to the Footswitch button, displays
the wireless footswitch's battery charge with three cells. If the charge is low, one
or two yellow cells are displayed; if charged, three green cells are displayed. The
Constellation*
battery status bar is always displayed in the Setup screen. If the footswitch is not
charging, and the battery charge is good, no icon is shown in the Surgery screen. If
the footswitch is not charging, and the battery charge is low, the bar blinks slowly in
both screens. If the footswitch is charging, the bar turns green with a lightning bolt
Infiniti*
in the middle, and is shown in both screens.
8065752943 2.43
FOR REFERENCE ONLY
been automatically disabled due to a radio conflict with another Alcon device. If the
Footswitch Network is disabled for either reason, the footswitch will change to a
wireframe image, and since other devices share the same Footswitch Network for a
particular console, their relative connection status will change from a green circle to
a white circle of dots.
Note: Should this occur, the Wireless Footswitch Network can be re-enabled on
a different channel. If operation on the same channel is desired, then the Wireless
Footswitch Network must first be disabled on the other Alcon Device causing the
conflict. Perform these steps to re-enable the Wireless Footswitch Network:
1. If the same channel is desired, disable the Footswitch Network on the Alcon
device causing the conflict.
2. Enter the Wireless tab under Custom/System Settings, turn the Footswitch
Network OFF, and press the green check mark button.
3. Enter the Wireless tab again, optionally select a different channel, turn the
Footswitch Network back ON, and press the green check mark button again.
The CDE values are reached using the equations shown in Table 2-4.
Ultrasonics
U/S Total Time: Sum of Longitudinal Time and Torsional Time.
Average Longitudinal Power: Average Longitudinal power over the time when Longitudinal power was applied.
For example, if Ultrasound Burst mode was selected and 100 mS burst pulses at 70% stroke were generated once
a second, the Average Longitudinal Power would record 70%.
Average Longitudinal Power (FP3): Average Longitudinal power over the time when Longitudinal power was applied
in footpedal position 3. This takes into account the U/S modulation aspects, resulting in a significantly lower reading
than Average Longitudinal Power. For example, if Ultrasound Burst mode was selected and 100 mS burst pulses at
70% stroke were generated once a second, the Average Longitudinal Power in Position 3 would record 7%.
Total Longitudinal Power On Time: Total time Longitudinal power was active. This records the Longitudinal On-
time, displayed in minutes and seconds.
Average Torsional Amplitude: Average torsional amplitude over the time when torsional power was applied. For
example, if OZil* Burst mode was selected and 100 mS burst pulses at 70% amplitude were generated once a
second, the Average torsional amplitude would record 70%.
Average Torsional Amplitude (FP3): Average torsional amplitude over the time when torsional power was applied
in footpedal position 3. This takes into account the U/S modulation aspects, resulting in a significantly lower reading
than Average Torsional Amplitude. For example, if Ultrasound Burst mode was selected and 100 mS burst pulses
at 70% amplitude were generated once a second, the Average Torsional Amplitude in Position 3 would record 7%.
Total Torsional Amplitude On Time: Total time torsional power was active. This records the torsional On-time in
minutes and seconds.
Equivalent Average Torsional Amplitude (FP3): Average U/S energy in footpedal position 3 calculated as:
0.4 x Average Torsional Amplitude in Position 3.
Equivalent Average Ultrasonic Power (FP3): CDE
U/S Total Time
Cumulative Dissipated Energy (CDE): Total U/S energy in footpedal position 3 (both longitudinal and torsional)
calculated as:
(Longitudinal Time x Average Longitudinal Power) + (Torsional Time x 0.4 x Average Torsional Amplitude)
The factor 0.4 represents approximate reduction of heat dissipated at incision as compared to conventional phaco.
Fluidics
Total Aspiration Time: Total time the system was aspirating.
Estimated Fluid Usage: An estimation of the volume of fluid aspirated based on system settings and time.
Table 2-4 CUMULATIVE DISSIPATED ENERGY (CDE) - CDE values are reached using formulas above.
8065752943 2.45
FOR REFERENCE ONLY
2. Setup Status Window
The Setup Status Window is where the current setup is displayed using images of the
Centurion* system with its attached accessories (see Figure 2-43), and is for display
only. This area also uses animated pictures to help the user perform procedures (i.e.,
luers being connected to a handpiece).
The system's setup status is displayed here through the use of pictures and text
messages. The user is alerted to situations like handpiece status, prime status, and
setup prompts.
A fluidics source must be installed: a bag of fluid in the bag bay for Active Fluidics*
technology, or a container of fluid hanging from the IV pole for Gravity Fluidics. The
type of fluidics chosen is shown on the left side of the screen.
If a valid FMS is not inserted, the user is asked to insert an FMS. When a valid FMS
is inserted, the fluidics mechanism performs a test of the aspiration pressure sensor. If
the test fails, a dialog is displayed and the FMS is rejected.
As each handpiece is connected to the system, it is shown on the screen. Its fill/test
status is represented through messages and color of the handpiece.
Custom Button
2. Setup Status Window
Figure 2-43 The Setup Status Window - In this image the phaco handpiece is filled and
tested and ready for surgery. Active Fluidics* technology is being used as indicated by
the fluid bag on the left of the screen. If chosen as the preferred system of irrigation,
gravity fluidics is represented with a hanging bottle of fluid instead of the bag.
The following describes the purpose of each drop list menu item, the function of
the controls in its dialog, and how the selections are invoked. The selections may be
invoked whether the footswitch treadle and/or a footswitch button is depressed or not
depressed, and the footswitch is functional when the dialog is displayed. The drop
list menu items provide the user with options relating to viewing, copying, deleting,
modifying, backing up, and restoring doctor/system settings.
• Doctor Settings
• Save
• Save As
• System Settings
• Backup / Restore
• Export
• Procedure Builder
• About
• View Events
• Shutdown System
Custom Button
8065752943 2.47
FOR REFERENCE ONLY
2.1 Custom / Doctor Settings
The Doctor Settings dialog is invoked when the user presses Doctor Settings on the
Custom drop list menu (see Figure 2-45). The Doctor Settings dialog enables the
user to view and modify surgeon preferences for the currently-selected doctor. The
first screen to appear contains settings in the General tab. Other tab settings are for
Fluidics, Footswitch, Sounds, SGS, and Advanced.
Each dialog has Confirm () and Cancel (X) buttons at the bottom of the screen.
When Confirm is selected, all settings changed since the dialog was invoked are saved
to persistent storage, the doctor dialog closes, and the settings take immediate effect.
If the current doctor is the Alcon Settings default, the changes take immediate effect,
but they are not saved to persistent storage; the changes are temporary. If Cancel is
selected, the whole doctor dialog closes and the system returns to its prior settings.
• Verify PEL (cm) - The Verify PEL button is used to automatically turn the Verify
PEL dialog On or Off. When turned On, the Verify PEL dialog is automatically
opened following the handpiece test. Upon completion of PEL verification, the
Surgery screen is automatically entered. When turned Off, the PEL step button at the
bottom of the Setup screen must be manually pressed to open the Verify PEL dialog.
• Default Procedure - Press this button to display a list of procedures the doctor can
select from to be his default procedure when beginning a case.
• Vit Setup - If the On button is selected, when entering the anterior vitrectomy
mode a window appears to guide the user through the Vitrectomy Setup.
• Reflux Offset (cmH2O [hPa]) - Reflux pressure is limited to a level equal to the
current infusion pressure plus the value specified for the Reflux Offset, or the
maximum infusion pressure the system is capable of, whichever is less.
• IOP FPO Ramp Control - This setting controls the starting irrigation pressure by
which ramping continues until the target IOP setting has been achieved. Setting
to Auto, the system will use the actual pressure at the handpiece tip as the starting
pressure. Setting to Manual, the system will use the target IOP setting as the
starting pressure.
8065752943 2.49
FOR REFERENCE ONLY
• Estimated Leakage Comp (cc/min [mL/min]) - Estimated Leakage Compensation
adjusts for pressure losses due to incision leakage while the system is maintaining
the programmed target IOP. Increasing this value is similar to adjusting the target
IOP setting.
• Irrigation Pressure Drop (%) - When the acquired value of the irrigation pressure
sensor is below the value specified by the Irrigation Pressure Drop, the system
will display an advisory dialog. When this setting is 100%, this feature is disabled.
• Vent Time Adjustment - This feature is used to adjust the degree of venting
pressure at the handpiece tip that is adjusted in response to a vent (during
transition from footpedal position 2 to position 1). There are three settings: Min,
Medium, and Max. Minimum is the default which provides unmodified venting
performance. Settings Mid and Max increase the net pressure experienced at the
handpiece tip after a vent.
8065752943 2.51
FOR REFERENCE ONLY
Figure 2-50 Doctor Settings Dialog Screen - Advanced Tab
• AutoSert* Remote Control Default - When using a D/C cartridge, the Load
Plunger and Preload IOL buttons are selected to set the default value of the remote
control focus to be either Load Plunger or PreLoad IOL buttons.
• AutoSert* IOP - This button enables IOP control (including Continuous Irrigation
and PEL) within the AutoSert* injector step.
The Save dialog provides the user with Save () and Cancel (X) buttons. If the Save
Changes button is pressed, the changes are saved to the current doctor. If Cancel is
selected, surgical parameters are not saved and the dialog closes.
The Alcon Settings doctor is the factory default and cannot be permanently changed,
so the Save button is disabled when Alcon Settings is the current doctor.
8065752943 2.53
FOR REFERENCE ONLY
2.4 Custom / System Settings
The System Settings dialog only opens when in the Setup Screen. If in an inactive
Surgery Screen, the system transitions to the Setup Screen and the System Settings
dialog opens. If a surgical case is active, a confirmation dialog opens stating that
the Setup Screen must be entered before proceeding, requiring confirmation before
transitioning to the Setup Screen/System Settings dialog.
• Irrigation Fill - When Irrigation Fill is turned On, irrigation is activated without
reflux to the handpiece (fluid will only stream from irrigation port). The result is
that the Irrigation Fill step replaces the Fill step, in all instances, for all users of the
console. When turned Off, the Fill step activates both irrigation and reflux to clear
air bubbles from the fluidics system.
• SI Units - Display objects are converted to SI units when turned On. The unit
labels and displayed values are converted as follows:
• Remote Control - Pressing the Change Remote Control button allows the user to
change the remote control communication channel in the event of a conflict with
another system.
• System Name - Pressing the Change System Name button brings up a keyboard so
the user can change the system name to facilitate identification.
8065752943 2.55
FOR REFERENCE ONLY
Custom / System Settings / Wireless Tab
The Centurion supports three distinct wireless networks. The first network is the
Footswitch Network which allows the Centurion* wireless footswitch to communicate
to the console. The Centurion* footswitch network is also shared by other associated
devices, namely the LX3 microscope and the Surgical Guidance System (SGS /
Verion* Link). The HDMC is a feature not supported at this time.
The second network is the Wi-Fi Network. This network refers to wireless connection
to the VideOverlay device. Proper channel selection for each network is important to
ensure a quality wireless connection; select the optimal channel for your environment
to avoid conflict.
The third network refers to the wireless connection between the Centurion* System
and the facility's wireless network that enables the Centurion* System to communicate
to Alcon for the purpose of uploading event logs. The configuration of this network is
described under the "Upload" tab. This tab is not visible unless enabled by your Alcon
representative.
While searching for the channel with the best signal quality, the quality of each
wireless connection is indicated with a bargraph of zero to five vertical bars,
increasing in height, and the color of the bars. Five green bars indicate high
To change Footswitch Channel, the footswitch must either be cradled onto the back
of the system or cabled to the front of the system. Either of these two actions "pairs"
the footswitch with the system, allowing the Footswitch Channel to to be changed.
• Wi-Fi Network - These buttons turn the Wireless Network On and Off. If it is desired
to use the VideOverlay wirelessly, then the wireless network must be turned ON.
• Wi-Fi Channel - Sets wireless channel. Change this setting in the event of a conflict
with another wireless device.
The Footswitch Network and Wi-Fi Network share the same frequency band for
communication. The colored dot next to the Wi-Fi Channel is used to indicate if
there is a conflict between those two networks; a green dot indicates no conflict, and
a red dot indicates a conflict. Should a red dot exist, then either the Wi-Fi Channel or
Footswitch Channel should be changed.
• Wi-Fi Network Region - The Wi-Fi Network Region setting establishes the
transmit power level and available channels associated with a particular region
(Japan, North America, Europe, and World). The settings should not be changed
once established for the region of use.
IMPORTANT NOTE: The Footswitch Network and Wi-Fi Network Region
settings establish the transmit power level and available channels associated
with a particular region and should not be changed once established for the
region of use. Please contact your Alcon Technical Service Representative for
information regarding applicable restrictions.
• Wi-Fi SSID - Shows Current Wi-Fi Network SSID system setting; this is the
unique identification of the system on the Wi-Fi network. The Change SSID
button is used to modify the system identification on the network. Currently,
the Wi-Fi network supports the Wireless VideOverlay device. Therefore, this
setting for Wi-Fi SSID corresponds to the unique identification for the particular
VideOverlay device to be paired with the Centurion unit.
8065752943 2.57
FOR REFERENCE ONLY
Custom / System Settings / Pairing Tab
Pairing is a method of wirelessly connecting devices used in the Cataract Refractive Suite
to the Centurion* System. Devices that can be wirelessly paired are the Verion* Digital
Marker Microscope (DMM), HDMC (High Definition Media Center, which is a future
enhancement), and Microscope (LuxOR* LX3 microscope).
IMPORTANT NOTE: Changing the Footswitch Channel in the Wireless tab un-pairs
all footswitch network devices, including the footswitch. When the channel is changed,
all network devices must be paired again.
• Pairing a Verion* Digital Marker Microscope via Verion link with a Centurion* System
In order to successfully pair a Verion* Digital Marker Microscope (DMM) with a
Centurion* System, follow the instructions below and refer to Figure 2-54.
1.
Centurion* System: Suspend Centurion* footswitch on its hanger. Alternatively,
connect it with a cable.
2.
Centurion* System: Select Custom/System Settings/Wireless tab. Turn Footswitch
Network ON, and set to a Footswitch Channel with good signal quality. Press the green
check button to save the selection. Change the channel only if necessary. If the channel
is changed, all previously-paired devices will need to be re-paired to the new channel.
3.
Centurion* System: Select Custom/Doctor Settings/Footswitch tab. In the Button
Assignment window select Toggle SGS for one of the footswitch buttons and Step+
Step – for the lower two buttons. Press the green check button to save.
4.
Centurion* System: Select Custom/Procedure Builder/New Step and select the SGS
steps you want at the bottom of the surgery screen. Press green check button to save.
5.
Centurion* System: Select Custom/Doctor Settings/SGS tab. The Toggle SGS and
Step buttons are identified in the Button Assignment window. In the SGS Display
Options window, designate desired heads up display markers for doctor viewing in
the microscope and on the DMM. Press the green check button to save.
6.
Centurion* System: Select Custom/System Settings/Pairing tab. Select Change SGS
Pairing to bring up its dialog.
7. Digital Marker Microscope: Select Login/Admin, then type ADMIN as the login
password. Select Options/Config. In the Configuration screen/Centurion tab, press
Auto Pair. This message appears: Pairing... Please press "Pair" button on Centurion
and wait. You have 20 seconds to complete the next step on the Centurion* System.
8.
Centurion* System: Press Find, and after the DMM is located the Centurion* System will
display the SGS identification number. You now have 20 seconds to complete the next step.
9.
Centurion* System: Press Pair. The Centurion* System completes the pairing process
with the DMM. The SGS identification number is shown at the top of the Change
Pairing dialog and a green ‘S’ icon appears at the top of the surgery Setup screen to
confirm the pairing process. Press green check button to save changes.
10. Digital Marker Microscope: The message "Pairing Done!" appears, and the status
light is green. Press OK and then Save&Close to save the settings.
2.58 FOR REFERENCE ONLY 8065752943
1. Doctor Settings: Designate Centurion* footswitch 2. Doctor Settings: Designate SGS Display Options
Button Assignments.
3. System Settings: Select Change SGS Pairing. 4. System Settings: After setting up Verion* DMM
wireless, press Find.
5. System Settings: Select Pair. 6. System Settings: Press the green check button.
Figure 2-54 Pairing the Verion* Digital Marker Microscope with the Centurion* System
8065752943 2.59
FOR REFERENCE ONLY
• Pairing a LX3 Microscope with a Centurion* System
In order to successfully pair a LX3 microscope with a Centurion* System, follow the
instructions below and refer to Figure 2-55.
1.
Centurion* System and LX3: Suspend Centurion* footswitch and LX3 foot
controller on their respective hangers. Alternatively, connect them with cables.
3.
Centurion* System: Select Custom/System Settings/Pairing tab. Select Change
Microscope Pairing to bring up its dialog.
5.
Centurion* System: Press Find, and after the microscope is located the Centurion*
System will display the LX3 identification number. You now have 20 seconds to
complete the next step.
6.
Centurion* System: Press Pair. The Centurion* System completes the pairing
process with the LX3 microscope. The LX3 identification number is shown at
the top of the Change Pairing dialog and a green ‘L’ icon appears to confirm the
pairing process. Press the green check button to save the changes.
Wait for at least five seconds after pairing is complete before un-cradling the LX3
foot controller to ensure that the pairing information was exchanged between it and
the LX3 console. If un-cradled too quickly, the foot controller may not work; in that
case simply re-cradle.
8065752943 2.61
FOR REFERENCE ONLY
Custom / System Settings / Upload Tab
The Upload tab does not appear by default; it must be enabled by an Alcon Technical
Service Representative. The customer must agree to participate in the data upload
program with Alcon before the Upload tab will be activated.
This feature allows for the automatic remote upload of event log data wirelessly
through the internet to Alcon. This uploaded data can be utilized by the Technical
Services group to remotely gauge system performance and provide faster, more
accurate service. The data uploaded is purely system data. There is no patient or
customer data transmitted by the system.
The Centurion* system must connect to a wireless network with internet access to
perform the event log upload. A wireless network must be made available at the
site with the proper security and encryption attributes for the data upload feature to
function. Alcon does not provide an internet connection, but rather the Centurion*
system must be connected to an existing Wi-Fi network at the install site.
Please note that this Wi-Fi network is separate from the Wi-Fi network discussed
under the Wireless tab.
• Upload Schedule – Defines the frequency at which the Centurion* system will
attempt a file. The upload only occurs during system shutdown and can be
scheduled Daily, Weekly, Biweekly, Monthly, or Never. The Centurion* system
will finish shutting down upon completion of an event log upload.
• Upload Now – Prompts the Centurion* system to attempt an upload using the
network properties entered in the Upload tab. This can be used to force an upload
when one is not scheduled, or to confirm the system successfully connects to the
wireless network. Should the system be commanded to Upload Now, the system
will be forced to shut down when the Upload tab is exited.
• Network Region - This feature establishes the transmit power level and available
channels associated with a particular region (Japan, North America, Europe,
and World). The Upload/Network Region settings should not be changed once
established for the region of use.
IMPORTANT NOTE: The Footswitch Network and Wi-Fi Network Region
settings establish the transmit power level and available channels associated
with a particular region and should not be changed once established for the
region of use. Please contact your Alcon Technical Service Representative for
information regarding applicable restrictions.
8065752943 2.63
FOR REFERENCE ONLY
2.5 Custom / Backup/Restore
The Backup and Restore feature allows the user to protect doctor settings on USB
removable media (flash drive). When wanted, the doctor name and settings that were
saved on the removable media can be accessed and drawn back into the Centurion*
system's list of doctors.
Figure 2-57 Backup/Restore Dialog Screen Figure 2-58 Backup/Restore Dialog Screen
Backup Tab Restore Tab
Case Metrics
Date Button - Pressing the date button brings up from zero to ten of the most recent
dates for which Case Metrics are archived. Selection from the list chooses the date for
Case Metrics export.
Export Case Metrics Button - Press this button to export a PDF file of all Case
Metrics archived for the selected date to removable media.
Figure 2-59 Export Dialog - Case Metrics and Event Logs can be saved to a flash
drive for analysis of the data on a computer.
8065752943 2.65
FOR REFERENCE ONLY
2.7 Custom / Procedure Builder
The current doctor can customize his surgery steps across the bottom of the surgery
screen by using the Procedure Builder dialog (see Figure 2-60). Steps can be added,
deleted, copied, and renamed; and the sequence of steps can be reordered with the
Move buttons.
The Procedure Builder dialog only opens in the Setup Screen. If the user is in an
inactive Surgery Screen, the system transitions to the Setup Screen and the Procedure
Builder dialog opens; if a surgical case is active, a message appears that requires user
confirmation before transitioning to the Setup Screen/Procedure Builder dialog.
Pressing the New Step button in the Procedure Builder dialog opens another dialog
that offers all available steps that can be selected (see Figure 2-61). Selecting a step
closes that dialog and places the step at the bottom of the Procedure Builder dialog
where it can be moved up to the user's desired position.
Selecting a step in the Procedure Builder dialog allows the user to move the step up or
down, or to delete the step completely.
Figure 2-60 Procedure Builder Dialog - When Procedure Builder is selected from the
Custom drop down list, the Procedure Builder dialog appears. All the steps for the
currently-selected doctor/procedure are shown from top to bottom. Pressing the New
Step button brings up a dialog with available steps that can be added to the procedure.
Figure 2-62 Procedure Builder Dialog with Fill Step Added - In this case the Fill step
was selected from the right column of the Steps dialog (see prior figure). The Fill step
appeared at the bottom of the existing steps, then the Move Up button was pressed to
place the Fill step after the Epi step. More steps can be added, deleted, or moved prior
to saving the action by pressing the green check () button.
8065752943 2.67
FOR REFERENCE ONLY
Figure 2-63 Step Selected in Procedure Builder Dialog - Selecting a step in the Proce-
dure Builder Dialog allows the user to Delete, Copy, Rename, or Move the step.
Figure 2-64 Copy (or Rename) Step in Procedure Builder Dialog - In this case, the
user selected Copy Step from the Procedure Builder Dialog, although Rename step
brings up the same selections for the type of step selected. Copying a step duplicates
all the doctor's settings to the new step name, while renaming a step simply changes
the name of the step.
Figure 2-65 The About Dialog - Upon installation by an Alcon service technician, a
phone number for local technical assistance is programmed into the system and is
displayed at the bottom of the dialog.
8065752943 2.69
FOR REFERENCE ONLY
Figure 2-67 The Shutdown System Dialog.
With the irrigation and aspiration luer fittings connected together, the priming
sequence can be initiated. When selected, a Prime FMS or Prime Bag dialog appears
with a progress bar that shows the progress of the draw fluid priming sequence. When
the priming and vacuum checks are completed successfully, the prime status becomes
“Primed” and the Fill Button is highlighted.
Fill Button
The Fill button is automatically highlighted when the priming sequence has
completed successfully. With handpiece inserted, and irrigation / aspiration tubing
3. Setup Steps
Surgery Button
PEL Button
Test Handpiece Button
Fill Button
Prime FMS / Prime Bag Button
8065752943 2.71
FOR REFERENCE ONLY
connected to it, pressing the Fill button activates the fluidics system to fill the
handpiece. During the fill process the Fill Handpiece dialog appears on the screen
with a progress bar that shows the progress of the filling sequence. Also displayed in
the dialog is a Cancel button (X) and an Advance to Test Handpiece button.
Once the fill sequence is initiated it can be aborted by pressing the Cancel button (X),
whereby the Fill Handpiece dialog closes and the Fill button darkens but remains
highlighted. If Advance to Test Handpiece is pressed, the Fill dialog closes and the
Test Handpiece function is selected.
The Centurion* Vision System allows a Centurion* OZil* handpiece and Infiniti*
OZil* handpiece to be connected at the same time, but the user must perform the Test
Handpiece sequence for each handpiece. Pressing the Swap Phaco / UltraChop button
switches handpieces for the testing sequence.
When the Test Handpiece button is selected the test handpiece dialog will display
progress of the flow check and vacuum check. A Cancel button also appears. Once the
test sequence is initiated, it can be aborted by the user by pressing the Cancel button
(X) or removing the FMS, or it can be left to proceed to completion.
PEL Button
By default, the Verify PEL (cm) dialog appears upon successful completion of the
handpiece test sequence. This can be changed to a manual step by entering the
Custom/Doctor Settings/General dialog and pressing the Verify PEL Off button.
Surgery Button
Pressing the Surgery button takes the user to a Surgery Screen as determined by the
procedure selected. The first surgery step for the doctor’s procedure is entered.
The Surgery Screen contains the buttons, readouts, and controls that allow the user to
perform surgical functions. This screen is displayed when one of the following occurs:
• The Surgery button is pressed from the Setup Screen.
• The handpiece and priming functions are completed in the Setup Screen and no
other connected handpieces are “Not Tuned.”
The Surgery Screen is divided into three sections (see Figure 2-69). At the top is the
Status Panel, below that is the Surgery Window, and below that is a row of Surgery
Steps.
Depending on the procedure type and surgery step selected, the Surgery Screen
contains tools and surgical parameters corresponding to the selections. Although
several representative surgery screens are shown in this section of the manual, not all
screens showing handpiece/procedure/steps are shown.
1. Status Panel
The buttons in the surgery Status Panel are the same as the buttons in the setup Status
Panel (see Setup Screen earlier in this section of the manual for descriptions).
2. Surgery Window
The Surgery Window occupies the center of the Surgery Screen and is broken into
upper and lower halves. The top half has the surgery controls, and the lower half has
the fluidics controls, both of which are described on the following pages.
The actual values for certain parameters are shown in oval display buttons. With
the exception of the Vacuum parameter, the upper limit for each setting represents
1. Status Panel
(descriptions are the same
as in the Setup Screen)
2. Surgery Window
3. Surgery Steps
Figure 2-69 The Centurion* Vision System Surgery Screen - This screen is for phaco
modes of operation. The screens for other modes of operation look similar to this, but
may have more or fewer oval display buttons and surgical parameters corresponding to
the surgery step.
8065752943 2.73
FOR REFERENCE ONLY
its maximum setting. (For the Vacuum limit setting, if the vacuum limit is set to
700+ mmHg [933+ hPa], then the upper limit does not exist.)
Each surgery step has operating parameter settings that are established by default.
During surgery the user may change the parameters in any of the steps. Any
parameter changes made may be explicitly saved by the user using the Save As
option (if Alcon Settings is doctor) or the Save option (if other than Alcon Settings is
doctor) from the Custom drop list. Also, if there are unsaved changes to the surgery
steps and the user changes the doctor or lens removal procedure, a dialog box appears
asking the user to save or discard any unsaved changes. Powering down the system
automatically dismisses any unsaved changes.
Mode Button
The Mode button in the top-center of the Surgery Controls area displays the current
mode for the step; in Figure 2-70 it is Continuous mode in the PrePhaco step. The
Phaco and Anterior Vitrectomy modes can be changed by pressing the top-center
Mode button and selecting another from a drop list. Depending on the current step,
the Alcon Settings mode selections are:
Status Panel
Custom Button
Surgery Steps
Figure 2-70 Surgery Control Window with Phaco Surgery Controls Identified - This upper
half of the Surgery Control Window is used to observe current surgical performance levels,
and to adjust surgery settings by pressing the oval display buttons and buttons to present
control dialogs.
This adjustment dialog is for This oval display window is a visual representation of
footpedal position 3 torsional amplitude from left to right through footpedal position 3.
Figure 2-71 Oval Display Button Dialog - Oval display buttons on a surgical screen show
parameter settings for a current step (see Figure 2-66). Pressing an oval display button
brings up a dialog where the user can make adjustments to the settings according to
doctor's preferences.
Custom Button
Pressing this button presents a list of features that can be selected, allowing the user
to adjust system settings to the surgeon's preferences. This feature is discussed at
length earlier in this section of the operator's manual.
8065752943 2.75
FOR REFERENCE ONLY
IP Button
Intelligent Phaco (IP) is used to deliver a reduced magnitude of phaco energy when
a vacuum threshold setting is exceeded. This reduced phaco energy is applied only
as necessary, and continues until the vacuum drops below the trigger threshold. The
same IP settings are used for each enabled phaco step.
Pressing the IP button while in a phaco step causes the IP Settings dialog to appear
on the screen (see Figure 2-72). Intelligent Phaco is enabled by pressing the On
button, or disabled by pressing the Off button. After selecting On or Off and pressing
the confirmation button (), the dialog closes. When the IP feature is enabled for a
particular phaco step, the IP button is animated; when disabled, it is colored gray.
The adjustable settings are Longitudinal Pulse Duration, Vacuum Threshold, and
Longitudinal/Torsional Ratio. These settings are user-adjustable so the user can
specify the vacuum limit at which the IP feature is activated, and the amount of
energy that is delivered when activated.
Figure 2-72 IP Dialog - Intelligent Phaco can be turned on and off for the current step by
pressing the On and Off buttons in this dialog, then pressing the confirmation button ().
Fluidics Administration
The Centurion* Vision system supports two types of fluidics administration to deliver
and control fluid pressure: Active Fluidics* technology is an automated system that
administers fluid from a bag of BSS* irrigating fluid within its bag bay (see Figure
2-73), and Gravity Fluidics is used for fluid administration using the power IV pole
(see Figure 2-74).
Using gravity fluidics, raising the IV pole to its maximum height of 150 cm results
in maximum irrigation pressure (150 cm includes a 110 cm maximum vertical height
above the pressure sensor plus a maximum PEL of -40 cm). In the event of power
loss, bottle position is maintained; however, if the unit is turned off using the Standby
switch, the IV pole automatically retracts to its storage position.
8065752943 2.77
FOR REFERENCE ONLY
IOP Fluid Bag IOP Settings Vacuum Settings Aspiration Settings
Status Panel
Surgery Controls
Surgery Steps
Figure 2-73 Fluidics Control Window with Active Fluidics* Technology Selected - The lower half of the
Surgery Control Window is used to observe current fluidics performance levels, and to adjust settings
by pressing the oval windows and buttons to present control dialogs.
Status Panel
Surgery Controls
Surgery Steps
Figure 2-74 Fluidics Control Window with Gravity Fluidics Selected - The lower half of the Surgery
Control Window is used to observe current fluidics performance levels, and to adjust gravity fluidics
settings by pressing the oval windows and buttons to present control dialogs.
Figure 2-75 IOP Setpoints (Fixed) for Active Fluidics* Technology - Pressing the IOP (mmHg or hPa)
Oval Display Button brings up the IOP Setpoints (mmHg or hPa) dialog.
Up Button
Slide Button
Down Button
Figure 2-76 IOP Setpoints (Linear) for Active Fluidics* Technology - This IOP Setpoints dialog is an
example of how footpedal settings have been changed in linear and fixed manner in the
three footpedal ranges. The new settings are accepted by pressing the green confirmation
button ( ).
8065752943 2.79
FOR REFERENCE ONLY
Vacuum Settings
The operator can adjust the vacuum limit (Vacuum / mmHg) using the front display
panel or the remote control. The adjustable vacuum limit range is 0 to 700+ mmHg (0
to 933+ hPa), where 700+ mmHg (933+ hPa) is limited by atmospheric pressure.
Aspiration Settings
The operator can adjust the aspiration limit (Asp Flow / cc/min) using the front
display panel or the remote control. The adjustable aspiration limit range is 0 to
60 cc/min (0 to 60 mL/min).
Continuous Irrigation
Continuous Irrigation (Cont Irr) is available in most surgical steps (except Coag)
and allows for irrigation of the eye during surgery by opening the irrigation valve,
regardless of footswitch position. The Continuous Irrigation mode default setting can
be set to On or Off through the Custom / Doctor Settings / Fluidics tab.
PRECAUTION: Before switching handpieces it is advised to exit the eye, then turn
Continuous Irrigation off to close the irrigation valve and prevent excess BSS* sterile
irrigating solution from flowing out of the handpiece.
PEL (cm)
The PEL button allows adjustment of the Patient Eye Level setting from the surgery
screen. (For details on setting the PEL, see the Setup Screen description.)
8065752943 2.81
FOR REFERENCE ONLY
2.3 Surgery Window with Phaco Steps
Surgery controls vary with the phaco step and mode currently selected, although all
phaco steps contain Longitudinal (%) and Torsional (%) settings. If the top-center
Mode button is pressed, Continuous, Pulse, and Burst modes are offered in a drop list
with different settings for each, as shown in the table below. All phaco steps contain
the same fluidics controls for irrigation, vacuum, and aspiration.
Figure 2-79 Surgery Window with AutoSert* Injector Step - If irrigation is desired, the
IOP feature can been turned ON in the Custom/Doctor Settings/Advanced
tab.
8065752943 2.83
FOR REFERENCE ONLY
2.7 Surgery Window with Anterior Vitrectomy Step
The Vitrectomy step contains a surgery control for Cut Rate parameters, and fluidics
controls for irrigation, vacuum, and aspiration parameters. The Surgery Controls
area also contains a top-center Mode button indicating the current Vitrectomy mode,
of which two are available by pressing this button (Anterior Vit, I/A Cut). Several
Vit steps can be added to the steps bar at the bottom of the screen using the Custom/
Procedure Builder feature (Anterior Vit, Epi Removal, I/A Cut, Peripheral Irid, Visco
Asp).
The row of Surgery Steps allows up to 12 visible buttons at one time across the
bottom of the surgery screen. The Setup button is always on the far left, and the Coag
& Ant Vit buttons are on the right for all surgical modes.
Procedural step buttons can be added or removed from a doctor's surgery steps by
selecting or removing them in the Custom / Procedure Builder dialog.
Nine visible procedural step buttons are located between the Setup button and the
Coag/Vit buttons; however, up to 16 procedural step buttons can be programmed into
this space by the current doctor. When more than 9 procedural steps are programmed,
and when selecting the step that is furthest left (next to the Setup button) or furthest
right (next to the Coag/Vit buttons), the steps will scroll so that all steps before or
after the selected step can be seen.
Status Panel
Surgery Controls
Fluidics Controls
3. Surgery Steps
Figure 2-82 Surgery Steps - At the bottom of the Surgery Screen are the Surgery Steps.
The buttons in this area allow the surgeon to control the surgical step progression.
8065752943 2.85
FOR REFERENCE ONLY
3.1 Setup Button
When the Setup button is pressed, the user will be taken to the Setup screen. To enter
the Setup screen the footpedal must be released, and the footswitch buttons must not
be activated.
The Centurion* Vision System provides operational surgical steps to support efficient
lens removal and IOL implantation. Each step allows for the adjustment of surgical
parameters such as power, aspiration, and vacuum settings according to doctor
preferences. These step buttons are arranged in sequential order from left to right
across the bottom of the screen to provide a complete surgical procedure of different
settings associated with different aspects of the procedure.
Factory-preset operating parameters for each step are programmed into the system as
"Alcon Settings." These default operating parameters can be temporarily modified,
and then they can be permanently saved with a new doctor's name by using the
Custom / Save As dialog.
The procedural steps are selectable from the unit’s front display screen, from the
remote control unit, or from the footswitch. Selecting a new step results in a voice
confirmation. (The user has the ability to turn the voice feature off via the Custom /
Doctor Settings / Sounds dialog.)
T
A
control. For best performance, use tips
wer
recommended by your Alcon representative. ud i n a l Po
git
Lon
Power/Amplitude
The Longitudinal Power and Torsional Amplitude settings are increased or decreased
via adjustment dialogs in increments of 5% from a minimum of 0% to a maximum of
100%. Power and amplitude to the handpiece is controlled by one of two methods: fixed
or linear footpedal control.
• If fixed footpedal control is selected (equal start and end values in footpedal
position 3), the end value indicates the fixed power or amplitude delivered to the
handpiece. To increase or decrease the value, press an oval display button to bring
up the adjustment dialog window (see left image in Figure 2-83 for example of
fixed Longitudinal Power adjustment) and use the adjustment buttons to increase
or decrease the fixed value.
• If linear footpedal control is selected (unequal start and end values through footpedal
position 3), the starting and end values in the dialog indicate increasing or decreasing
power or amplitude throughout footpedal position 3. To change the starting and end
values, press an oval display button to bring up the adjustment dialog window (see
right image in Figure 2-83 for example of Torsional Amplitude adjustment) and use
the adjustment buttons to increase or decrease the starting and end values.
Figure 2-83 Power/Amplitude Dialogs - These two screens show a fixed Longitudinal Power dialog
(left) and a linear Torsional Amplitude dialog (right), identified by the horizontal and diagonal lines in
their oval display buttons. See Figure 2-67 for description of Oval Display Button Dialog.
8065752943 2.87
FOR REFERENCE ONLY
Phaco Timing Configurations
In footpedal position 3, longitudinal power and torsional amplitude are delivered
to the phaco tip through a variety of timing configurations. Depending on the mode
selected (Continuous, Pulse, Burst) the timing can be continuous, or can include off-
times between longitudinal/torsional pulses. The three modes are explained below.
• Continuous Phaco Mode - In this mode phaco power is delivered 100% of the
time in footpedal position 3. When the Longitudinal power or Torsional amplitude
setting is set to 0% (no power), then only torsional or longitudinal phaco power is
delivered, for 100% of the time, to the handpiece tip. This allows the user to have
continuous ultrasonic longitudinal power or torsional amplitude, if so desired. If
longitudinal power and torsional amplitude are both used, then continuous phaco
provides 20% of its duty cycle for longitudinal power and torsional ultrasonic
oscillations for the remaining 80% when in footpedal position 3, and repeats this
cycle over and over again as long as the footpedal is in position 3. This produces
continuous alternations between longitudinal power and torsional amplitude.
The user can select any fixed value or linear start and end values for both
Longitudinal Power % and Torsional Amplitude % when in footpedal position 3
by invoking their associated oval display button dialogs.
Figure 2-84 Continuous Phaco Surgery Screen - In this case Torsional amplitude is
delivered at 20% amplitude for 100% of the time.
RESTING (position 0)
IRRIGATION (position 1)
PEDAL
FOOT IRR + ASPIRATION (position 2)
FOOTSWITCH ASSEMBLY
For example, in the figures below, one pulse (torsional, longitudinal, off-time)
is 100 ms duration because of the selected pulse rate of 10 pps. Duration of
the phaco pulse, therefore, is 50 ms torsional (100 ms X 50%) plus 10 ms
longitudinal (100 ms X 10%) and the remaining 40 ms is an Off period.
If Torsional (%) Amplitude Limit or Longitudinal (%) Power Limit are set to zero,
then they contribute nothing to the pulse, and their duty cycles (Time On %) have
no effect.
100 ms
1 pulse
100 ms
Figure 2-86 Pulse Phaco Surgery Screen and Timing Diagram - In this case Torsional oscillations are
delivered at 40% amplitude for 50 ms, Longitudinal power is delivered at 35% power for
10 ms, and no power/oscillations are delivered for 40 ms.
8065752943 2.89
FOR REFERENCE ONLY
• Burst Phaco Mode - When operating in this mode of operation, torsional burst is
followed immediately by longitudinal burst, followed by a pause. Duration of the
phaco burst is determined by the settings on the panel; for example, in the Figures
below the On Time is 70 ms torsional, 30 ms longitudinal, and the duration of the
Off Time is determined by the linear position of the footpedal in position 3. At
the beginning the Off Time is equal to 2500 ms, and it is gradually reduced as the
footpedal is depressed. When the footpedal is depressed all the way, the Off Time
will be equal to that set on the panel – 30 ms in the given example.
If Torsional (%) Amplitude and/or Longitudinal (%) Power are set to zero, then
there are no torsional or longitudinal contributions to the burst, and their duty
cycles (On Time ms) have no effect.
1 burst
1 burst
Time
Figure 2-87 Burst Phaco Surgery Screen and Timing Diagram - In this case Torsional oscillations are
delivered at 40% amplitude for 70 ms, Longitudinal power is delivered at 35% power for 30
ms, and the off time becomes reduced as the footpedal is depressed through position 3.
In Irr/Asp mode there are only two footpedal positions. Irrigation is provided in
footpedal positions 1 and 2; Aspiration is provided in footpedal position 2.
All Irr/Asp steps contain IOP target, vacuum, and aspiration fluidics control
parameters. These parameters are displayed in the lower control panel portion of the
Surgery Screen. The Surgery Control Panel in the upper portion does not contain any
surgical parameters, but does contain an indication of the step type; i.e., Irr /Asp.
The left screen in Figure 2-84 is an example of an Irr/Asp surgery screen. If the
AutoSert* injector step is enabled (Custom/Procedure Builder/New Step/AutoSert*),
the setup controls for the Intrepid* AutoSert* IOL Injector are displayed in the upper
control panel, as shown in the right screen (D/C cartridge selected). This allows the
nurse to prepare the AutoSert* injector while the surgeon is performing Irr/Asp steps.
RESTING (position 0)
IRRIGATION (position 1)
DAL
TPE
FOO
IRR + ASPIRATION (position 2)
FOOTSWITCH ASSEMBLY
8065752943 2.91
FOR REFERENCE ONLY
Vacuum Control
The operator can adjust the vacuum limit using the front display panel or the remote
control. The adjustable vacuum limit range is 0 to 700+ mmHg (0 to 933+ hPa),
where 700+ mmHg (933+ hPa) is limited by atmospheric pressure.
• Fixed Vacuum Control - Fixed vacuum control provides a fixed vacuum limit
when aspirating in footpedal position 2.
Aspiration Control
The operator can adjust the aspiration limit using the front display panel or the remote
control. The adjustable aspiration limit range is 0 to 60 cc/min (0 to 60 mL/min).
When transitioned into the Fill step, irrigation and reflux will be enabled
simultaneously for up to 10 seconds. If Irrigation Fill is enabled in the Custom/System
Settings/General menu, this step will be Irrigation Fill, and irrigation will be enabled
without reflux.
The AutoSert* injector step can be added at any location in the procedure using the
Custom/Procedure Builder menu. The AutoSert* injector step is typically positioned
before the last I/A step.
The Intrepid* AutoSert* IOL Injector, after preparation with a loaded, single-use
cartridge, gives the surgeon footpedal control of AcrySof* lens insertion in footpedal
position 2. Contact your Alcon representative for the latest qualified lens/cartridge.
When the the IOL injector is connected to the Centurion* system it is calibrated, and
if successful, it becomes ready for use.
• The Load Plunger button is used to install a plunger, should this be required.
• The Preload IOL button is used to prepare the IOL injector by advancing the
lens to the preload lens position. Alternatively, the doctor can simply press the
footpedal into position 2 and the preload activity will automatically proceed.
• The Retract button is used to retract the handpiece plunger when lens insertion is
completed or when otherwise necessary. Alternatively, pressing and holding the
Retract button (Reflux) on the footswitch can also be used to retract the plunger.
Figure 2-90 AutoSert* IOL Injector Screen - On the left is the standard screen for the AutoSert*
injector step. The right screen is also for the AutoSert* injector step, but the IOP feature has
been turned ON in the Custom/Doctor Settings/Advanced tab.
RESTING (position 0)
RESTING (position 1)
DAL
TPE
FOO PRELOAD / INITIAL RATE
PAUSE
FINAL RATE (position 2)
FOOTSWITCH ASSEMBLY
8065752943 2.93
FOR REFERENCE ONLY
During each of these activities a blue Progress Bar appears to show the activity, and
a red Cancel button also appears that allows the user to stop the activity at that point
(see Figure 2-92). Note: If the preload and retract activities are controlled with the
footswitch, the Progress Bar and Cancel button do not appear.
After lens insertion (Initial Rate, Pause, Final Rate), the footpedal must be released
and the Retract button (or Reflux/Retract button on the footswitch) pressed to retract
the IOL plunger.
The footpedal can be released out of position 2 during the insertion steps, causing
a pause in the insertion activity. Pressing into position 2 again causes the activity to
resume from the point it stopped.
Progress Bar
Cancel Button
Figure 2-92 Intrepid* AutoSert* IOL Injector Setup - A short procedure must be followed prior to
using the AutoSert* injector feature. In the upper-left image the plunger is loaded by pressing the Load
Plunger button. In the upper-right image the Preload IOL button is pressed after placing the lens in
correct position on the plunger tip. In the lower-left image the lens is being inserted after pressing the
footpedal into position 2. After insertion, the footpedal is released and the Retract button is pressed
to retract the plunger back into the IOL injector.
• Pause (s) - Once the Pause position is reached, a preprogrammed pause in forward
advancement is initiated. This momentary pause allows internal stresses on the
lens to be relieved, thus ensuring proper lens delivery.
• Final Rate (mm/s) - This setting controls the fixed or linear velocity at which the
lens is injected into the eye.
PRECAUTION: The default values for the Initial Rate and Pause ensure proper IOL
injection over a worst case range of IOL size and ambient temperature conditions.
Please refer to the Intrepid* AutoSert* IOL Injector DFU and consult with your
Alcon representative for additional guidance in adjusting these parameters for your
environment.
CAUTIONS
• Do not ultrasonically clean the IOL injector connector. Ultrasonic cleaning of IOL
injector connector will cause irreparable damage.
• Use care when handling handpiece, particularly when cleaning. Always clean
handpiece over a surface cushioned with a pad or rubber mat.
• Be sure handpiece cable connector is dry before connecting it to the console.
• Do not disconnect cable connector from Centurion* system console until the
handpiece plunger is fully retracted.
• Do not immerse the IOL injector in any fluid when the plunger is not retracted.
• As part of a properly-maintained surgical environment, it is recommended that a
backup IOL injector be made available in the event the AutoSert* IOL injector does
not perform as expected.
WARNINGS!
• The Intrepid* AutoSert* IOL Injector is non-sterile and must be cleaned and sterilized
prior to, and immediately after, each use.
• Never immerse the IOL injector in liquid after autoclaving; allow it to air cool for at
least 15 minutes. Quenching could result in a potentially hazardous condition for
the patient.
• The AutoSert* IOL Injector delivery system is for the implantation of Alcon qualified
AcrySof* foldable IOLs. Unqualified lenses shall not be used with the system. See
Intrepid* AutoSert* IOL Injector DFU or AcrySof* IOL DFU, or contact your Alcon
representative, for qualified lens/cartridge combinations.
• The cartridge/IOL combination listed in the DFU, along with Alcon settings, has
been validated per section 5 of BS EN ISO 11979-3:2006. Appropriate use of injector
handpiece settings is important for successful IOL implantation. Inappropriate use
of settings may lead to a potentially hazardous condition for the patient.
• Fully retract plunger before detaching nosecone from AutoSert* IOL Injector;
otherwise, this could expose non-sterile portion of shaft and result in a potentially
hazardous condition for the patient.
• The metal reusable plunger must be sterilized after each use. The reusable plunger
is to be installed onto the handpiece or into the wrench prior to sterilization.
8065752943 2.95
FOR REFERENCE ONLY
Coagulation Mode of Operation
RESTING (position 0)
RESTING (position 1)
DAL
TPE
FOO
COAGULATION (position 2)
FOOTSWITCH ASSEMBLY
8065752943 2.97
FOR REFERENCE ONLY
Anterior Vitrectomy Mode of Operation
The Anterior Vitrectomy (Ant Vit) mode is used to drive a 23 gauge, pneumatically
operated, Centurion* vitrectomy cutter. Fixed and linear control of the Cut Rate
is adjustable from 1 to 4000 cuts per minute in all vitrectomy modes (except for
peripheral iridectomy mode where the cut rate is only fixed control). Fixed and linear
control of Vacuum and Aspiration is provided in all vitrectomy modes.
Anterior Vit and I/A Cut modes are offered by default from the drop down menu, while
Epi Removal, Peripheral Irid, and Visco Asp are offered as steps in the Custom/Procedure
Builder dialog.
A switch on the footswitch may be assigned to enable and disable the Vit Cutter
using the Custom/Doctor Settings/Footswitch tab. When the Vit Cutter is disabled,
I/A functionality in footpedal position 2 is unchanged, but the Vit Cutter does not cut
and the message “Cut Disabled” is displayed. The assigned Vit Cutter switch may be
pressed in any footpedal position, and the function takes effect immediately.
An on-screen Vitrectomy Setup dialog may appear when entering the Ant Vit step to
help the user prepare the vitrectomy cutter for surgery (see Figure 2-95). This feature
can be enabled or disabled in the Custom/Doctor Settings/General tab by pressing the
On or Off button in the Vit Setup window.
Figure 2-95 Anterior Vitrectomy Setup Dialog - This dialog appears when entering the
Ant Vit step, but it must be enabled in the Custom/Doctor Settings/General tab.
RESTING (position 0)
IRRIGATION (position 1)
EDAL
FOOTP
IRR + ASPIRATION + CUTTING (position 2)
FOOTSWITCH ASSEMBLY
Figure 2-96 Footpedal Control In Anterior Vitrectomy Mode of Operation (except for I/A
Cut which is Resting/Irrigation/Irrigation+Aspiration/Irrigation+Aspiration+Cutting)
8065752943 2.99
FOR REFERENCE ONLY
THIS PAGE INTENTIONALLY BLANK
2.100 LAST
FORPAGE OF THIS SECTION
REFERENCE ONLY 8065752943
SECTION THREE
OPERATING INSTRUCTIONS
INTRODUCTION
This section details a recommended setup and check‑out procedure for the Centurion*
Vision System. The steps on the following pages cover preparation for cataract lens
removal surgery including irrigation and aspiration, coagulation, and vitrectomy using
packs supplied by Alcon.
The procedures are divided into two columns and presume a surgical team of four people:
Surgeon and Scrub Nurse in the sterile field, a Circulating Nurse in the non‑sterile field,
and a Sterilization Technician. In the left column a directive is given; in the right column
the responsible team member is identified.
Any problems pertaining to setup and check‑out procedures should first be directed to
the Troubleshooting section of this manual. If questions still exist, contact the Alcon
Technical Services Department or your local Alcon representative.
POWER UP SEQUENCE
System power-up is initiated when the Power switch is turned on and the Standby switch
is pressed. After some delay (during which the Alcon splash screen is displayed) a full-
screen animation concluding with "Centurion* Vision System" is displayed. During
power-up the following are displayed at the bottom of the Startup Screen:
Release: REL_xx.xx Copyright 2013 Novartis AG
Access U.S. Patents list on About Dialog 2013/xx/xx 10:20
After power-up, the Setup Screen is entered. If there are no user-defined doctors, then Alcon
Settings becomes the currently-selected doctor, otherwise the Select Doctor dialog is opened.
8065752943 3.1
FOR REFERENCE ONLY
INITIAL SYSTEM SETUP
1. Remove footswitch from cradle on rear of system and set on floor. If using Circulating Nurse
cabled footswitch, plug cable into one-of-two connectors at bottom of
console's front panel. Ensure treadle and switches are not depressed.
2. Fold instrument tray down into the horizontal position. If remote control is Circulating Nurse
to be used during surgery, pull a left or right loop out from the instrument
tray and place the remote control in it.
3. Plug main power cord into a suitable wall outlet or receptacle. Turn Power Circulating Nurse
switch ON (located at the bottom of the rear panel; this switch remains ON
in the I position). Turn system power ON using the Standby switch located
at the top of the right side panel.
WARNINGS!
• To avoid risk of electric shock, this equipment must only be connected
to a supply mains with protective earth (ground).
• Do not use multiple portable socket outlets with this system.
4. After power-up, the Setup Screen is entered. If there are no user-defined Circulating Nurse
doctors, then Alcon Settings becomes the currently-selected doctor. If
there are user-defined doctors, the Select Doctor dialog appears allowing
the user to select an available doctor.
If creation of a new doctor is desired, press the Doctor Name button, press
the Manage Doctors button, and follow the on-screen prompts.
WARNING!
Ensure that appropriate Centurion* system parameters and system
settings are selected prior to starting the procedure. Parameter and
system settings include, but are not limited to, ultrasound mode,
ultrasound power, vacuum, aspiration flow rate, bottle height, IOP, etc.
5. Verify remote control is functional by pressing its buttons and observing Circulating Nurse
the system's actions.
6. Inspect the O‑rings on the Ultraflow* II I/A handpiece tip. If damaged, Sterilization
the O‑rings must be replaced using the Ultraflow* O‑ring tool prior to Technician
sterilization.
7. Clean, inspect, and sterilize the instruments according to hospital procedure. Sterilization
Technician
CAUTION
The phaco handpiece must be at room temperature before use. Allow
handpiece to air cool after steam autoclave (at least 15 minutes). Never
immerse in liquid to cool.
1. Open FMS pack and aseptically transfer contents to sterile field. Circulating Nurse
2. Extend front or rear wire loop from the instrument tray. Drape tray support Circulating Nurse
cover over the tray, remote control, and support arm, then push cover down and Scrub Nurse
into the loop to form a pouch for the handpiece.
3. For Active Fluidics* technology, rotate upper work surface to the side, open Circulating Nurse
Active Fluidics* compartment door, gently lower bag of irrigating fluid into
the bag bay, and slide the compartment door shut.
For gravity fluidics, hang a container of irrigating fluid from IV pole. Circulating Nurse
WARNING!
Use of irrigating fluid bags other than those approved by Alcon for use
with Active Fluidics* technology can result in patient injury or system
damage.
4. Grasp Fluidic Management System (FMS) and remove paper band from Scrub Nurse
tubing. Uncoil tubing and place in pouch.
5. Hold FMS by handle, angle it toward the lip on bottom of fluidic module, Scrub Nurse
and press top forward to insert into housing, all in one motion. Ensure that
the drain bag hangs freely, and that tubing does not fall out of pouch.
6. For Active Fluidics* technology, spike irrigating fluid administration line Circulating Nurse
from FMS into the bag of irrigating fluid secured within the Active Fluidics* or Scrub Nurse
bag bay. Verify compartment door is fully closed.
For gravity fluidics, spike irrigating fluid administration line from FMS into Circulating Nurse
the container of irrigating fluid hanging from IV pole, then squeeze drip
chamber to fill approximately 2/3 to 3/4 full.
7. Connect FMS tubing together to create a fluidics loop: Connect FMS tubing Scrub Nurse
with female aspiration luer to FMS tubing with male irrigation luer.
8065752943 3.3
FOR REFERENCE ONLY
8. Ensure correct Doctor and Procedure setting are selected. Press Prime FMS Scrub Nurse
on the Setup screen or Enter on the remote control to initiate the priming/
test sequence. The system performs three functions: draw fluid, vacuum test,
and vent test.
For gravity fluidics the IV pole automatically elevates to the priming position
during the priming test, then returns to its home position after successful
completion the testing sequence.
WARNINGS!
• IV pole rises automatically. To avoid stretching drip chamber tubing,
and possibly pulling drip chamber out of bottle, tubing must hang
freely with no interference.
• If using gravity fluidics, keep clear of IV pole when it is in motion to
prevent skin, hair, and/or clothing from becoming trapped in the IV pole
mechanism.
After successful completion of the priming sequence, the FMS prime status
indicator at top of display screen (Active Fluidics* FMS or Gravity FMS)
changes from red (not primed) to green (primed), and the setup automatically
switches to the Fill step.
9. Thread U/S tip onto phaco handpiece (see Figure 3-1). Tighten firmly using Scrub Nurse
the tip wrench. Remove wrench and retain for tip removal. If tip is not
securely attached, an Event message may be generated and/or inadequate
tuning will occur.
CAUTION
Do not use the disposable tip wrench for subsequent cases; stripping of
the tip wrench may occur.
10. Match proper color coding of infusion sleeve with selected tip (see Table Scrub Nurse
3-1). Tip of sleeve should clear bevel on U/S tip by 1-2 mm (see Figure 3-2),
and orient port holes as shown. Avoid twisting the sleeve.
Table 3-1 Table of Phaco Handpiece Tips and Corresponding Infusion Sleeves.
8065752943 3.5
FOR REFERENCE ONLY
Infusion Sleeve
U/S Tip
1.0 to 2.0 mm
U/S Tip
Port Hole turned 90° to tip bevel
Infusion Sleeve
Irrigation Line
(clear male luer with white luer lock)
Aspiration Line
(blue female luer)
N
URIO
CENT
Figure 3-3 Connect Phaco Handpiece to FMS Tubing and Centurion* System Connector Panel
(Centurion* OZil* handpiece shown).
Place handpiece
vertically in pouch
formed with drape
12. From FMS, connect the female luer on aspiration line to male aspiration port Scrub Nurse
on handpiece. Connect male luer on irrigation line to female irrigation port
on handpiece. If Centurion* handpiece, turn the white luer lock clockwise
to lock irrigation fitting to handpiece (see Figure 3-3).
13. Hold handpiece with tip pointed down into test chamber (see Figure 3-4) Scrub Nurse
and activate Fill on the setup screen. While observing stream of fluid from
irrigation and aspiration ports, fill test chamber completely and slide it over
end of handpiece. Ensure no air bubbles are present in test chamber. Press
handpiece into instrument tray pouch with tip pointed up, and secure irrigation/
aspiration lines to clips on top of tray. Ensure tubing is not kinked.
WARNINGS!
If stream of fluid is weak or absent while filling test chamber, good fluidics
response will be jeopardized. Good clinical practice dictates the testing
for adequate irrigation and aspiration flow prior to entering the eye.
Ensure that the tubings are not occluded during any phase of operation.
14. Activate Test Handpiece on the setup screen. The test consists of a handpiece Scrub Nurse
tuning exercise and fluidic flow check. If handpiece fails tuning or flow test,
an advisory is displayed. The handpiece tuning process can be aborted at any
time by pressing cancel (X).
WARNINGS!
If the handpiece test chamber is collapsed after tuning, there is a potential
of low irrigation flow through the handpiece and may result in a fluidic
imbalance. This, in turn, may cause a shallowing or collapsing of the
anterior chamber.
8065752943 3.7
FOR REFERENCE ONLY
15. After successfully testing handpiece you must adjust and verify the Patient Scrub Nurse
Eye Level (PEL) until the console PEL light aligns with the patient's eye
level (see Figure 3-5). If enabled, a PEL verification step is provided in the
setup screen. When alignment is complete, press the green check mark to
enter the Surgery Screen for the first step of the procedure.
CENTURION
lue
Va
VISION SYSTEM
E L
P
ight
o t t l e He idics
B lu
ity F
for Grav
)
EL
(P
v el
e Le
t Ey
tien
Pa
1. If using Ultraflow* II I/A handpiece with threaded tip adapter, follow the Scrub Nurse
directions in this step. or
Sterilization
Thread I/A tip onto I/A handpiece. Tighten firmly using the I/A tip wrench. Technician
Remove I/A tip wrench and retain for future tip removal.
CAUTION
Use of a tool other than Alcon tip wrench may cause damage to the
I/A tip and handpiece.
2. Thread infusion sleeve over the I/A tip until sleeve clears end of I/A tip Scrub Nurse
by 1-2 mm (see Figure 3-6). Avoid twisting of the Sleeve. Orient port
holes as shown and ensure that aspiration holes are not obstructed.
3. Remove aspiration and irrigation lines from the phaco handpiece Scrub Nurse
and connect to the I/A handpiece. For I/A handpieces equipped with
a locking irrigation luer, turn the white luer lock clockwise to lock
irrigation line to handpiece.
4. In Surgery screen, and with handpiece level with instrument tray, Surgeon
depress footswitch to position 1 to stream irrigation fluid from the or
irrigation port. Activate the reflux function to stream fluid from the I/A Scrub Nurse
tip’s aspiration port. Observe the stream of irrigating fluid from the
irrigation and aspiration ports. Ensure no air bubbles remain in irrigation
or aspiration pathways before continuing procedure.
WARNING!
If stream of fluid is weak or absent, good fluidics response will be
jeopardized. Good clinical practice dictates the testing for adequate
irrigation and aspiration flow prior to entering the eye.
8065752943 3.9
FOR REFERENCE ONLY
INTREPID* AUTOSERT* IOL INJECTOR SETUP
1. If AutoSert* injector step is not already shown at bottom of Surgery Circulating Nurse
screen for this doctor, add it to the steps using the Custom/Procedure or
Builder/New Step window. The AutoSert* injector step is typically Scrub Nurse
positioned before the last Irr/Asp step.
2. Plug Intrepid* AutoSert* IOL Injector Handpiece cable into one of the Scrub Nurse
top two handpiece connectors on the front connector panel. (Usually it is
the second of the two as the first is used by the phaco handpiece.)
3. Enter the AutoSert* injector step (or Irr/Asp step with AutoSert* setup in Scrub Nurse
its Surgery Controls area). "D" type or "C" type cartridges are supported
as indicated.
Remove a Plunger
It may be necessary to remove one plunger and replace it with another.
4. With plunger fully retracted, remove cartridge from IOL injector Scrub Nurse
handpiece.
5. Detach nosecone from IOL injector handpiece by rotating the nosecone Scrub Nurse
counter-clock-wise, then carefully sliding it away from the IOL injector
handpiece so it does not deflect the plunger.
6. With nosecone removed (see Figure 3-7), remove the plunger by Scrub Nurse
grasping it where indicated and pulling it away from IOL injector
handpiece.
8. Slide sterile plunger into sterile wrench, then connect plunger/wrench Scrub Nurse
onto nosecone of sterile IOL injector handpiece. Press Load Plunger
button (See the Intrepid* AutoSert* IOL Injector Handpiece DFU).
9. After plunger is loaded onto nosecone of sterile IOL injector handpiece, Scrub Nurse
remove wrench. The IOL injector handpiece is ready for the IOL cartridge.
Preload an IOL
Prior to entering the eye, the plunger must be moved forward to the
preload lens position.
10. Load IOL into cartridge, then insert loaded IOL cartridge onto tip of IOL Scrub Nurse
injector handpiece (See the Intrepid* AutoSert* IOL Injector Handpiece
DFU).
11. Press Preload IOL button. The AutoSert* handpiece is ready for use Scrub Nurse
when the preload sequence is complete.
12. In the AutoSert* injector step, and prior to inserting the lens into the Circulating Nurse
patient's eye, set the doctor's preferred Initial Rate (mm/s), Pause (s), and or
Final Rate (mm/s) settings. The Final Rate can be set for fixed or linear Scrub Nurse
delivery.
PRECAUTION: The default values for the Initial Rate and Pause ensure
proper IOL injection over a worst case range of IOL size and ambient
temperature conditions. Please refer to the Intrepid* AutoSert* IOL Injector
DFU and consult with your Alcon representative for additional guidance
in adjusting these parameters.
8065752943 3.11
FOR REFERENCE ONLY
CAUTIONS
• Do not ultrasonically clean the AutoSert* IOL Injector connector. Ultrasonic
cleaning will cause irreparable damage.
• Use care when handling AutoSert* IOL Injector, particularly when cleaning. Always
clean handpiece over a surface cushioned with a pad or rubber mat.
• Be sure handpiece cable connector is dry before connecting it to the console.
• Do not disconnect cable connector from Centurion* system console until the IOL
Injector plunger is fully retracted.
• Do not immerse the AutoSert* IOL Injector in any fluid when the plunger is not
retracted.
• As part of a properly maintained surgical environment, it is recommended that
a backup IOL injector be made available in the event the AutoSert* IOL injector
handpiece does not perform as expected.
WARNINGS!
• The Intrepid* AutoSert* IOL Injector is non-sterile and must be cleaned and sterilized
prior to, and immediately after, each use.
• Never immerse the IOL injector in liquid after autoclaving; allow it to air cool for at
least 15 minutes. Quenching could result in a potentially hazardous condition for
the patient.
• The AutoSert* IOL Injector delivery system is for the implantation of Alcon qualified
AcrySof* foldable IOLs. Unqualified lenses shall not be used with the system. See
Intrepid* AutoSert* IOL Injector DFU or AcrySof* IOL DFU, or contact your Alcon
representative, for qualified lens/cartridge combinations.
• The cartridge/IOL combination listed in the DFU, along with Alcon settings, has
been validated per section 5 of BS EN ISO 11979-3:2006. Appropriate use of injector
handpiece settings is important for successful IOL implantation. Inappropriate use
of settings may lead to a potentially hazardous condition for the patient.
• Fully retract plunger before detaching nosecone from AutoSert* IOL Injector;
otherwise, this could expose non-sterile portion of shaft and result in a potentially
hazardous condition for the patient.
• The metal reusable plunger must be sterilized after each use. The reusable plunger
is to be installed onto the handpiece or into the wrench prior to sterilization.
When the Anterior Vitrectomy step is entered, the Vitrectomy Setup dialog appears
(see Figure 3-8) unless turned Off in the Doctor Settings screen. This setup screen
assists the user through the proper set up and test of the selected probe.
If the Vitrectomy Setup dialog is turned Off, you can either turn the Vitrectomy
Setup dialog On (Custom/Doctor Settings/General), or proceed three more
pages to CENTURION* ULTRAVIT* PROBE SETUP (without using
Vitrectomy Setup dialog).
1. Peel lid and aseptically transfer contents of pack to sterile field. Circulating Nurse
2. Press the Ant Vit step button; the Vitrectomy Setup dialog appears. Scrub Nurse
NOTE: In the next few steps the user will be instructed to press buttons
on the Vitrectomy Setup dialog. These buttons can be pressed on the
display screen, or they can be activated using the Parameter Selection
keys and Enter key on the remote control.
3. Connect to console Vit port - Connect black and gray pneumatic tubing Scrub Nurse
connectors from the Centurion* UltraVit* Probe to left and right Vit
ports, respectively, on the front panel of the Centurion* Vision System
(see Figures 2-2 & 3-8 & 3-9). Turn tubing connectors clockwise until
they click securely in place.
8065752943 3.13
FOR REFERENCE ONLY
Irrigating Cannula Male Luer
Irrigation Tubing
From Centurion*
Fluidic Management
Centurion* UltraVit* Probe System (FMS)
Male Luer Female Luer
Aspiration Tubing
Gray Fitting
Clear
Pneumatic Tubing Connect to Centurion*
Front Connector Panel
Black Fitting
Black Striped
4. Connect aspiration tubing - Disconnect FMS irrigation and aspiration Scrub Nurse
tubing connectors from phaco handpiece. Connect FMS blue aspiration
tubing connector to probe's blue aspiration tubing connector (see Figure
3-9). Press Next button.
5. Connect irrigating cannula - Connect FMS white irrigation tubing Scrub Nurse
connector to irrigating cannula (see Figure 3-9). Press Next button.
6. Press Fill then press Test - Priming of the vitrectomy probe is required Scrub Nurse
prior to use. With tip of probe and irrigating cannula in a cup of sterile
fluid, press the Fill button. Ensure all air bubbles have been removed
from all tubing connected to the probe prior to use.
Verify probe actuation - While observing cutting port of probe, held Scrub Nurse
under surface of sterile fluid, press the Test button. The system intitiates
an automated test sequence confirming secure connections and facilitates
visualization of probe cutter by applying a brief period of reduced cut
rate. The cutter should fully open and close when actuated.
7. The Anterior Vit surgery screen appears on the front display panel. Scrub Nurse
Switching between five different vitrectomy types is done by pressing
the Mode button (Anterior Vit) at top center of surgery screen. The
vitrectomy probe is ready for surgery.
Cautions and Warnings for Centurion* UltraVit* Probe are on next page
The vitrectomy probe, a guillotine vitreous cutter, is intended for single use only.
After filling and testing, and before surgical use, verify that the probe is
properly actuating and aspirating. This may require lowering cut rate to achieve
good visualization. The port should always remain in open position in footpedal
position 1. If cutting port is partially closed while in position 1, replace the probe.
Prior to entry into the eye, and with tip of probe in sterile irrigating solution,
the surgeon should step on the footpedal for visual verification that the probe
is cutting:
• If the cutter is observed to not fully close, or does not move when the probe
is actuated, replace the probe.
• If cutting port is partially closed while idle, replace the probe.
• If air bubbles are observed in the aspiration line or exiting the probe tip
during priming, replace the probe.
• If a reduction of cutting capability or vacuum is observed during the surgical
procedure, stop immediately and replace the probe.
8065752943 3.15
FOR REFERENCE ONLY
CENTURION* ULTRAVIT* PROBE SETUP
(without using Vitrectomy Setup dialog)
1. Peel lid and aseptically transfer contents to sterile field. Circulating Nurse
2. Press the Ant Vit step button; the Anterior Vit surgery screen appears. If Scrub Nurse
it is desired to have a Vit step as a part of the procedure, then it must be
added in the Procedure Builder.
3. Connect black and gray pneumatic tubing connectors from the Centurion* Scrub Nurse
UltraVit* Probe to left and right Vit ports, respectively, on the front panel
of the Centurion* Vision System (see Figures 2-2 & 3-10). Turn tubing
connectors clockwise until they click securely in place.
4. Disconnect FMS irrigation and aspiration tubing connectors from phaco Scrub Nurse
handpiece. Connect FMS female luer aspiration connector to aspiration
line of vitrectomy probe. Connect FMS male luer irrigation connector to
irrigating cannula (see Figure 3-10).
Irrigating Cannula Male Luer
Irrigation Tubing
From Centurion*
Fluidic Management
Centurion* UltraVit* Probe System (FMS)
Male Luer Female Luer
Aspiration Tubing
Gray Fitting
Clear
Pneumatic Tubing Connect to Centurion*
Front Connector Panel
Black Fitting
Black Striped
5. Priming of the vitrectomy probe is required prior to use, and can be Scrub Nurse
performed using one of two methods. With tip of probe and irrigating
cannula in a cup of sterile fluid:
• Independently use irrigation by depressing the footpedal to position
1 to remove air bubbles from the probe’s irrigation line, and then use
reflux to remove air bubbles from the probe’s aspiration tubing.
• Use the Fill command, if enabled in the Procedure Builder and placed
before the Vit step, to simultaneously remove air bubbles from the
irrigation and aspiration lines. When completed, the system will
proceed to the selected Vit step.
Ensure all air bubbles have been removed from all tubing connected to
the probe prior to use.
6. Testing of the vitrectomy probe should be performed prior to use. With Scrub Nurse
tip of probe and irrigating cannula in a cup of sterile fluid, depress
footpedal to the cut position and observe probe's cutting port (to facilitate
visualization, reduce cut rate). The cutter should fully open and close
when actuated, and remain open when footpedal is released to position 0.
Cautions and Warnings for Centurion* UltraVit* Probe are on prior page
3.16 FOR REFERENCE ONLY 8065752943
COAGULATION HANDPIECE SETUP
1. Using aseptic techniques, plug new or sterilized handpiece cable Scrub Nurse
connectors into Centurion* Vision System front connector panel.
8065752943 3.17
FOR REFERENCE ONLY
THIS PAGE INTENTIONALLY BLANK
3.18 LAST
FORPAGE OF THIS SECTION
REFERENCE ONLY 8065752943
SECTION FOUR
CARE AND MAINTENANCE
INTRODUCTION
This section of the manual is designed to inform the operator of basic care and
maintenance of the instrument. If a problem occurs on the instrument, contact
Alcon Technical Support or your local Alcon representative and give details of the
breakdown circumstances and effects. If there is an Event message, write down
the number and message exactly as it appears on the screen. From these elements,
a specialized technician will evaluate the problem and determine the maintenance
requirements.
WARNING!
The Centurion* Vision System battery can only be serviced by a factory-trained
Alcon service engineer. Access by untrained personnel can lead to injury.
8065752943 4.1
FOR REFERENCE ONLY
UPON COMPLETION OF THE DAY'S SURGERY SCHEDULE
STEP ONE: Clean handpieces, cables, forceps, etc., as instructed in DFU's supplied
with each accessory.
WARNING!
If in the medical opinion of the physician a patient with a prion related disease
undergoes a high risk procedure, the instrument should be destroyed or be
processed according to local requirements.
STEP TWO: Remove bag of BSS* irrigating fluid from Active Fluidics* bag bay, or
remove irrigation container from IV pole hanger, and set aside. Remove spike from
BSS* irrigating fluid and discard tubing.
STEP FOUR: Slide door shut over Active Fluidics* bag bay, or flip IV pole hanger to
its storage position.
STEP FIVE: Select Custom/Shutdown from the Surgery Screen. Select OK. If used,
IV pole will go down to storage position before unit shuts off.
or
Press Standby power switch located at top of right side panel to remove operating
power from the system. If used, IV pole will go down to storage position before unit
shuts off.
WARNING!
If used, keep clear of the IV pole when it is in motion to prevent skin, hair, and/or
clothing from being trapped in the IV pole mechanism.
STEP SIX: Turn the primary AC power switch OFF. It is located at the bottom of the
rear panel.
STEP SEVEN: Disconnect the power cable from the wall receptacle and wind the
cable around the cord wrap.
Figure 4-1 Footswitch Cleaning - Clean under footpedal and footswitch to remove
debris that can interfere with its operation.
STEP NINE: If required, the console panels, the footswitch, and the remote control
may be wiped with alcohol, mild soap and water, or any germicidal solution that is
compatible with the plastic parts.
CAUTIONS
• Do not clean console or accessories using solvents, abrasives, or any cleaner
that is not compatible with plastic parts made of LEXAN EXL9112. Damage
may result.
• Avoid spilling BSS* solution, or moisture of any kind, around the electrical
handpiece connectors.
• Do not spray any liquid (i.e. cleaning solution or water) upward into the
console vents.
STEP TEN: Hang the footswitch on the footswitch hanger/charging station at the
bottom of the rear panel.
8065752943 4.3
FOR REFERENCE ONLY
CARE AND CLEANING
The following tips are recommended for proper care of the Centurion* Vision System:
• The console panels, the footswitch, and the remote control may be wiped with
alcohol, mild soap and water, or any germicidal solution that is compatible with
the plastic parts; instructions begin on the prior page.
• The touch screen may be cleaned with a soft, non-abrasive cloth towel and a mild
commercially-available window cleaner. Apply the cleaner to the towel rather
than the touch screen.
• Follow cleaning and maintenance schedules outlined in this section of the manual.
• Periodically check chassis appearance.
• Pay attention to correct operation of controls, connectors, and indicators.
• Damaged hardware must be replaced to ensure safe operation. Call Alcon
Technical Services for assistance.
WARNING!
A qualified technician must perform a visual inspection of the following components
every twelve months:
• Warning Labels (see section one of this manual)
• Power Cord
• Fuses
In case of a deficiency, do not use the system; call Alcon Technical Services.
A qualified technician must check ground continuity and leakage current every
twelve months to ensure they are within the limits of the applicable standards (for
example: EN60601-1/IEC60601-1). Values must be recorded, and if they are above
the limits of the applicable standards, or 50% above initial measurement, do not use
the system; call Alcon Technical Services.
The sterilization settings provided in Table 4-1 have been validated by Alcon Laboratories, Inc.
as being CAPABLE of sterilizing the instruments for re-use. It remains the responsibility of the
processor to ensure that the processing as actually performed using equipment, materials, and
personnel in the facility achieve the desired result. This requires verification and routine monitoring
of the process. Likewise, any deviation by the processor from the instructions provided with the
instrument's DFU should be properly evaluated for effectiveness and potential adverse consequences.
Please refer to nationally recognized standards, or to your facility’s standard procedures.
8065752943 4.5
FOR REFERENCE ONLY
FUSE REPLACEMENT
1. Turn the primary AC power switch OFF. It is located at the bottom of the rear
panel on the power module. Unplug power cord from power module.
2. Insert a flat surfaced instrument along the left side of the power module fuse door.
Pressing the flat instrument to the right against the fuse door, pull out to release door.
CAUTION
The fuse door must be pressed gently to ensure it does not break.
3. With fuse door open, grasp the fuse holder and pull it out from the power module.
4. Gently remove and replace fuses. Contact Alcon Technical Services for the correct
rating and size.
5. Reinsert fuse holder into power module and shut the fuse door.
6. Plug power cord into power source.
8065752943 4.7
FOR REFERENCE ONLY
SETTING UP THE RECONSTITUTION RACK
The reconstitution rack is used to hold up to six fluid bags for the Active Fluidics*
system, making it convenient for the surgery team to prepare the system for each
surgery. The rack comes in a box that must be opened and set up as instructed below.
STEP ONE: Remove reconstitution rack from shipping box. Discard all shipping
materials (see Figures 4-3A & 4-3B).
STEP TWO: Unfold rack into its standup position and place it on a flat, firm surface
(see Figure 4-3C).
STEP THREE: Hang fluidics bags from plastic tray as shown (see Figure 4-3D).
STEP FOUR: Upon completion of the day's surgery schedule, remove any unused
fluidics bags and store the rack in a safe, clean place.
CAUTION
Prior to using the rack for the first time, clean it in a hot dishwasher. Clean with
an approved disinfecting solution after usage per facility protocol instructions. Do
not attempt to clean this rack in an autoclave.
A B
C D
4.8 LAST
FORPAGE OF THIS SECTION
REFERENCE ONLY 8065752943
SECTION FIVE
TROUBLESHOOTING
INTRODUCTION
For Technical Service contact information open the Custom/About dialog in the
Centurion* Vision System.
System Messages
The system communicates through the display of system messages–Advisories,
Warnings, and Faults–based on the severity of the event. Listed below are examples of
each.
Advisories
An Advisory is a message to the user (see Figure 5-1). The Advisory may require user
intervention, or it may be for information purposes only. When an advisory condition is
detected, the following occurs:
• A tone is generated.
• A dialog is displayed indicating the Advisory.
8065752943 5.1
FOR REFERENCE ONLY
Warnings
Warnings are generated to indicate a non-system fault (see Figure 5-2) that is isolated and
does not affect the whole system. When a Warning is detected, the following occurs:
• A tone is generated.
• A dialog is displayed indicating the Warning.
• Affected mechanisms are placed in a safe state–the function of the affected
mechanism is not available.
• If desired, continue with limited functionality.
Figure 5-3 FAULTS SCREEN - This is a typical example of a System Fault dialog.
8065752943 5.3
FOR REFERENCE ONLY
No message is displayed, but Follow the Observed Conditions
unable to setup and operate as table in this section of the operator’s
Event described in this operator's manual manual. If unable to fix the issue, or
Encountered and other applicable labeling. if the symptom is not described in
the observed conditions, contact
Alcon Technical Services.
Advisory XXX
Unit displays an Advisory number Follow the Advisories Troubleshooting
and message. These messages table in this section of the operator’s
are displayed within a dialog box manual. If unable to fix the issue,
with a green banner. write down the Advisory number and
message exactly as it appears in the
dialog box, then contact Alcon
Technical Services.
Warning XXX
Unit displays a Warning number Write down the Warning number and
and message. These messages message exactly as it appears in the
are displayed within a dialog box dialog box, then contact Alcon Technical
with a yellow banner. Services. Some or all of the functions
could be disabled. Do not use unit
unless the case is already started
and no back-up is available.
Figure 5-4 TROUBLESHOOTING GUIDE - When an Event is encountered, refer to this chart first.
Gravity Fluidics - Test chamber does 1. Restriction to irrigation inflow. 1. Check for kinks in irrigation line or
not fill. There is insufficient irrigation. twisted infusion sleeve.
2. Bottle too low or handpiece too high. 2. Put bottle at 78 cm and put handpiece
at patient eye level.
3. Drip chamber not adequately filled 3. Squeeze drip chamber until 2/3 to
with fluid. 3/4 full.
Active Fluidics* System - Test 1. Restriction to irrigation inflow. 1. Check for kinks in irrigation line or
chamber does not fill. There is twisted infusion sleeve.
insufficient irrigation.
2. Clogged handpiece or tips. 2. Check handpiece and tips.
3. Drip chamber not 2/3 to 3/4 full. 3. Flush irrigation line and fill drip cham-
ber halfway using Fill button in Setup
mode. Reprime.
Table 5-1 OBSERVED CONDITIONS - Listed in this table are observed conditions that may be presented to the
user. The observed Symptom is followed by the Probable Cause and its Corrective Action.
8065752943 5.5
FOR REFERENCE ONLY
SYMPTOM PROBABLE CAUSE CORRECTIVE ACTION
Gravity Fluidics - Vent test failure or 1. Restriction in irrigation or aspiration 1. Check kinked irrigation or aspiration
vacuum and vent check failure. lines. lines or twisted tip cap sleeve.
Active Fluidics* System - Vent test 1. Restriction in irrigation or aspiration 1. Check kinked irrigation or aspiration
failure or vacuum and vent check lines. lines or twisted tip cap sleeve.
failure.
2. Machine insufficiently primed. 2. Press Test to reprime.
Prime Complete / Test Handpiece 1. Faulty tip. 1. Remove tip and replace if faulty.
Failed. Retighten. Retest.
Test Handpiece Failed: Loose Tip. 1. Loose tip. 1. Tighten tip and retune.
Test Handpiece Failed: Tuning in Air. Attempted to tune tips in presence Fill test chamber completely. Retune.
of air.
Gravity Fluidics - Test chamber 1. Clogged handpiece or tips. 1. Check handpiece and tips irrigation
collapses after tuning completed— flow.
does not refill.
2. Restriction to irrigation flow. 2. Check for kinks in irrigation line or
twisted infusion sleeve.
3. Wrong sleeve on tip. 3. Check for proper sleeve and tip size.
Active Fluidics* System - Test 1. Clogged handpiece or tips. 1. Check handpiece and tips irrigation
chamber collapses after tuning flow.
completed—does not refill.
2. Restriction to irrigation flow. 2. Check for kinks in irrigation line or
twisted infusion sleeve.
3. Wrong sleeve on tip. 3. Check for proper sleeve and tip size.
Gravity Fluidics - Air in irrigation line 1. Drip chamber not sufficiently full. 1. Fill drip chamber 2/3 to 3/4 full.
causing bubbles. Flush irrigation line in Free Flow or
footpedal position 1.
Active Fluidics* System - Air in 1. Air in line or handpiece. 1. Tap handpiece 2-3X during flow test.
irrigation line causing bubbles.
2. Loose irrigation luer fitting. 2. Check irrigation line and reseat.
Irrigation does not stop. System in Continuous Irrigation mode. Turn Continuous Irrigation off.
Low irrigation flow. Irrigation sleeve too distal. Move sleeve so holes are proximal to
tip flare.
2. Damaged O‑ring (Ultraflow* I/A hand- 2. Inspect O‑ring and replace, as neces-
piece only). sary.
8065752943 5.7
FOR REFERENCE ONLY
SYMPTOM PROBABLE CAUSE CORRECTIVE ACTION
“Calibration failed. Vitrectomy cut rate Internal pneumatics valve calibration Continue vitrectomy procedure with lim-
will be limited to 800 cpm” Advisory is has failed. ited cut rate and contact Alcon Technical
displayed at power up. Services Department.
Ineffective or poor Vit cutting. 1. Port not closing fully as the inner 1. Reduce cutting speed until port
cutter moves. closes completely.
Ant Vit probe does not work at all (no 1. An actuation line filling with BSS* 1. Check for correct tubing connections,
movement). fluid due to improper setup. then replace probe.
Gravity Fluidics - IV pole does not System error. Turn system on, wait until system
retract completely upon shutdown. powers up, then turn system off using
Standby power switch located on upper
rear panel.
Remote control does not work. 1. Remote control and system set on 1. Verify system channel selection and
different channels. remote channel select are set to same
channel (A, B, C, D, E, or F).
Cabled Footswitch - Footpedal not 1. Footpedal was pressed when system 1. Release footpedal and power off
responding properly. was powered up, or footpedal was system. Make sure footswitch is
pressed while plugging in footswitch. properly connected to system, and
turn power back on, with footpedal
in full up position.
Wireless Footswitch - Footpedal not 1. Footpedal was pressed down when 1. Release footpedal and power off
responding properly. system was powered up system. Turn power back on, with
footpedal in full up position.
Cabled Footswitch - “Please Install 1. Improperly connected or discon- 1. Verify proper insertion of footswitch
Footswitch” Advisory is displayed. nected footswitch. cable connector (while footpedal/
treadle is in full up position).
Wireless Footswitch - “Please Install 1. Footswitch has not been “paired” with 1. Hang footswitch onto footswitch
Footswitch” Advisory is displayed. the console. hooks on the rear of the unit for
greater than 5 seconds then remove.
System Fault occurs; entire system System Fault has several possible Carefully record all text appearing in
inoperative, red screen with stop sign causes. Fault screen, on display. Press and hold
is displayed. Standby switch for a few seconds to turn
system off, wait until screen goes dark,
then turn system back on to see whether
fault clears. Contact Technical Services.
“Doctor data invalid, U/S Occlusion, Dr. User restores, or selects Doctor Name Save data. U/S Occlusion settings will
XXXX” Advisory is displayed. that contains U/S Occlusion settings be removed.
which are no longer available.
8065752943 5.9
FOR REFERENCE ONLY
ADVISORIES
EVENT EVENT
CODE MESSAGE DISPLAYED CODE MESSAGE DISPLAYED
Table 5-2 EVENT CODES - Listed in this table are messages shown on the Centurion* Vision System
display panel when the system detects an event. The Event codes are separated between
Advisories, Warnings, and Faults.
EVENT EVENT
CODE MESSAGE DISPLAYED CODE MESSAGE DISPLAYED
169 Advisory xxx 182 Advisory xxx
Irrigation pressure is low. FMS calibration failed.
Recommended actions: Recommended actions:
1) Check bottle fluid level. 1) Reinsert FMS.
Alternate actions: 2) If condition persists, replace FMS.
1) Check for kinked lines or loose fittings. 3) If condition persists, restart system.
4) If condition persists, note Advisory number
170 Advisory xxx and contact Alcon Technical Services.
Reflux terminated. Reflux fluid volume depleted. See the About Dialog for Alcon Technical
Reflux will be unavailable until fluid is aspirated. Services contact information.
Recommended actions:
1) Aspirate fluid. 190 Advisory xxx
Active Fluidics is not available.
171 Advisory xxx Recommended actions:
Drain bag is full. 1) If in surgery, stabilize the eye then restart
Recommended actions: system.
1) Replace FMS. 2) If condition persists after restart, note
Advisory number and contact Alcon Technical
172-173 Advisory xxx Services.
Vacuum check failed. See the About Dialog for Alcon Technical
Recommended actions: Services contact information.
1) Check luer fittings and reprime
2) If condition persists, reinsert or replace FMS. 191 Advisory xxx
3) If condition persists, note Advisory number Active Fluidics is not available.
and contact Alcon Technical Services. Recommended actions:
See the About Dialog for Alcon Technical 1) If in surgery, stabilize the eye then restart
Services contact information. system.
2) If condition persists after restart, note
174 Advisory xxx Advisory number and contact Alcon Technical
Flow obstruction. Services.
Recommended actions: See the About Dialog for Alcon Technical
1) Check handpiece free flow. Services contact information.
2) If condition persists, replace phaco tip or
sleeve. 199 Advisory xxx
3) If condition persists, note Advisory number Gravity Fluidics is not available.
and contact Alcon Technical Services. Recommended actions:
See the About Dialog for Alcon Technical 1) Use Active Fluidics.
Services contact information.
200 - Ultrasonics Mechanism
179 Advisory xxx
FMS barcode invalid. 201-249 Warning xxx
Recommended actions: Ultrasound not available.
1) Reinsert FMS. Recommended actions:
2) If condition persists, replace FMS. 1) If in surgery, stabilize the eye then restart
system.
180 Advisory xxx 2) If condition persists after restart, note
Invalid FMS ID. Warning number and contact Alcon Technical
Recommended actions: Services.
1) Reinsert FMS. See the About Dialog for Alcon Technical
2) If condition persists, replace FMS. Services contact information.
8065752943 5.11
FOR REFERENCE ONLY
ADVISORIES
EVENT EVENT
CODE MESSAGE DISPLAYED CODE MESSAGE DISPLAYED
254-255 Advisory xxx 277 Advisory xxx
Loose tip. Handpiece disconnected while applying U/S
Recommended actions: power.
1) Tighten or replace tip. Recommended actions:
2) Re-test handpiece. 1) Release footswitch treadle.
Alternate actions: 2) Insert and test handpiece.
1) Connect handpiece to other port.
2) Re-test handpiece. 278 Advisory xxx
3) If condition persists, replace handpiece. Handpiece fault detected.
Recommended actions:
256-266 Advisory xxx 1) Connect handpiece to other port.
Handpiece test failed. 2) Re-test handpiece.
Recommended actions: 3) If condition persists, replace handpiece.
1) Remove and reconnect handpiece. 4) If condition persists and in surgery, stabilize
2) If condition persists, try other port. the eye then restart system.
3) If condition persists, replace handpiece. 5) If condition persists after restart, note
4) If condition persists and in surgery, stabilize Advisory number and contact Alcon
the eye then restart system. Technical Services.
5) If condition persists after restart, note See the About Dialog for Alcon Technical
Advisory number and contact Alcon Technical Services contact information.
Services.
See the About Dialog for Alcon Technical 279-280 Advisory xxx
Services contact information. Unknown handpiece detected.
Recommended actions:
268 Advisory xxx 1) Remove and inspect cable connector for
Handpiece test failed. debris.
Recommended actions: 2) Verify handpiece compatibility.
1) Press ‘Return to Setup Screen’. 3) If condition persists, connect to other port.
2) Re-test handpiece. 4) If condition persists, replace handpiece.
5) If condition persists and in surgery, stabilize
269 Advisory xxx the eye then restart system.
Handpiece test failed. 6) If condition persists after restart, note
Recommended actions: Advisory number and contact Alcon Technical
1) Re-test handpiece. Services.
See the About Dialog for Alcon Technical
270-273 Advisory xxx Services contact information.
Handpiece fault detected.
Recommended actions: 290 Advisory xxx
1) Connect handpiece to other port. Ultrasound error.
2) Re-test handpiece. Recommended actions:
3) If condition persists, replace handpiece. 1) Release footswitch treadle and retry.
4) If condition persists and in surgery, stabilize 2) If condition persists and in surgery, stabilize
the eye then restart system. the eye then restart system.
5) If condition persists after restart, note 3) If condition persists after restart, note
Advisory number and contact Alcon Technical Advisory number and contact Alcon
Services. Technical Services.
See the About Dialog for Alcon Technical See the About Dialog for Alcon Technical
Services contact information. Services contact information.
EVENT EVENT
CODE MESSAGE DISPLAYED CODE MESSAGE DISPLAYED
293 Advisory xxx 358-359 Advisory xxx
Ultrasound error. Footswitch charging while cradled is unavailable.
Recommended actions: Recommended actions:
1) Release footswitch treadle and retry. 1) Cable the footswitch if charging is desired.
2) If condition persists and in surgery, stabilize 2) If condition persists after restart, note
the eye then restart system. Advisory number and contact Alcon Technical
3) If condition persists after restart, note Services.
Advisory number and contact Alcon Technical See the About Dialog for Alcon Technical
Services. Services contact information.
See the About Dialog for Alcon Technical
Services contact information. 360 Advisory xxx
Footswitch battery is low.
Recommended actions:
300 - Footswitch Mechanism 1) Cradle the footswitch after surgical cases
have been completed.
301-349 Warning xxx 2) If condition persists, note Advisory number
Surgical functionality not available. and contact Alcon Technical Services.
Recommended actions: See the About Dialog for Alcon Technical
1) If in surgery, stabilize the eye then restart Services contact information.
system.
2) If condition persists after restart, note 361 Advisory xxx
Warning number and contact Alcon Technical Footswitch battery is critically low. Footswitch
Services. functionality may be lost unexpectedly.
See the About Dialog for Alcon Technical Recommended actions:
Services contact information. 1) Connect footswitch cable to console.
2) Cradle the footswitch after surgical cases
350 Advisory xxx have been completed.
Footswitch failure detected. 3) If condition persists, note Advisory number
Recommended actions: and contact Alcon Technical Services.
1) Inspect footswitch, clean under rear See the About Dialog for Alcon Technical
section of treadle and remove debris if Services contact information.
present. (Reference Maintenance section of
Operator’s Manual.) 362 Advisory xxx
2) Inspect and reconnect footswitch connector. Footswitch version not supported.
3) Ensure treadle is not depressed then reset Recommended actions:
footswitch. 1) Replace footswitch.
4) If condition persists, replace footswitch. 2) If condition persists, note Advisory and
5) If condition persists, note Advisory number contact Alcon Technical Services.
and contact Alcon Technical Services. See the About Dialog for Alcon Technical
See the About Dialog for Alcon Technical Services contact information.
Services contact information.
363 Advisory xxx
351 Advisory xxx Footswitch communication lost.
Footswitch failure detected. Recommended actions:
Recommended actions: 1) Release footswitch treadle.
1) Inspect and reset footswitch. 2) If footswitch is wireless, move footswitch
2) If condition persists, replace footswitch. and console closer, eliminate obstruction, or
3) If condition persists, note Advisory number open the System Settings dialog and change
and contact Alcon Technical Services. the Wireless Footswitch Channel.
See the About Dialog for Alcon Technical 3) If footswitch is cabled, replace cable.
Services contact information. 4) If condition persists, replace footswitch.
8065752943 5.13
FOR REFERENCE ONLY
ADVISORIES
EVENT EVENT
CODE MESSAGE DISPLAYED CODE MESSAGE DISPLAYED
367-368 Advisory xxx 400 - Host
Footswitch failure detected.
Recommended actions: 400-420 Fault xxx
1) Release footswitch treadle. System not operational.
2) If condition persists, replace footswitch. Recommended actions:
1) Press Standby Switch to shut down system.
369 Advisory xxx 2) Restart system.
Footswitch wireless operation unavailable. 3) If condition persists, note Fault number and
Recommended actions: contact Alcon Technical Services.
1) Do not disconnect footswitch cable. See the About Dialog for Alcon Technical
2) If condition persists, replace footswitch. Services contact information.
EVENT EVENT
CODE MESSAGE DISPLAYED CODE MESSAGE DISPLAYED
453 Advisory xxx 469 Advisory xxx
The Irrigation Pressure setting cannot be Doctor file corrupted.
achieved due to the current PEL setting. The Recommended actions:
Irrigation Pressure setting will be adjusted to 1) Restore doctor file from backup media.
the closest valid setting. 2) If condition persists, note Advisory number
Recommended actions: and contact Alcon Technical Services.
1) Note current Irrigation Pressure and PEL Alternate actions:
settings. 1) Select Alcon Settings doctor file.
2) Update settings as necessary or proceed See the About Dialog for Alcon Technical
with current settings. Services contact information.
8065752943 5.15
FOR REFERENCE ONLY
ADVISORIES
EVENT EVENT
CODE MESSAGE DISPLAYED CODE MESSAGE DISPLAYED
491 Advisory xxx 600 - Coag Mechanism
Wi-Fi network initialization failed. Wireless Video
Overlay is not available. 601-649 Warning xxx
Recommended actions: Coagulation is not available.
1) You may proceed with surgical cases. Recommended actions:
2) Optionally, you may restart the system to 1) If in surgery, stabilize the eye then restart
correct the condition. system.
3) If condition persists after restart, note 2) If condition persists after restart, note
Advisory number and contact Alcon Technical Warning number and contact Alcon Technical
Services. Services.
See the About Dialog for Alcon Technical See the About Dialog for Alcon Technical
Services contact information. Services contact information.
EVENT EVENT
CODE MESSAGE DISPLAYED CODE MESSAGE DISPLAYED
860 Advisory xxx 893 Advisory xxx
Two AutoSert Handpieces detected. AutoSert handpiece calibration failed.
Recommended actions: Recommended actions:
1) Remove one AutoSert Handpiece and 1) Replace AutoSert Handpiece.
proceed. 2) If condition persists and in surgery, stabilize
the eye then restart system.
889 Advisory xxx 3) If condition persists after restart, note
Handpiece fault detected. Advisory number and contact Alcon Technical
Recommended actions: Services.
1) Replace AutoSert handpiece. See the About Dialog for Alcon Technical
2) If condition persists and in surgery, stabilize Services contact information.
the eye then restart system.
3) If condition persists after restart, note 894 Advisory xxx
Advisory number and contact Alcon Technical Handpiece must be in fully retracted position
Services. prior to autoclave.
See the About Dialog for Alcon Technical Recommended actions:
Services contact information. 1) Reinsert AutoSert Handpiece.
8065752943 5.17
FOR REFERENCE ONLY
ADVISORIES
EVENT EVENT
CODE MESSAGE DISPLAYED CODE MESSAGE DISPLAYED
1000 - AutoCap Mechanism 1074-1076 Advisory xxx
ICD failed.
1001-1049 Warning xxx Recommended actions:
Capsulotomy is not available. 1) Press ‘Return to Setup Screen’.
Recommended actions: 2) Remove and reconnect ICD, then re-test
1) If in surgery, stabilize the eye then restart ICD.
system. 3) If condition persists, replace ICD.
2) If condition persists after restart, note 4) If condition persists and in surgery, stabilize
Warning number and contact Alcon Technical the eye then restart system.
Services. 5) If condition persists after restart, note
See the About Dialog for Alcon Technical Advisory number and contact Alcon Technical
Services contact information. Services.
See the About Dialog for Alcon Technical
1050 Advisory xxx Services contact information.
Footswitch is depressed.
Recommended actions: 1077 Advisory xxx
1) Release footswitch treadle before enabling ICD failed.
Capsulotomy. Recommended actions:
1) Replace ICD
1061 Advisory xxx 2) Press ‘Return to Setup Screen’ to test new
ICD test failed. ICD.
Recommended actions: 3) If condition persists and in surgery, stabilize
1) Re-test ICD. the eye then restart system.
4) If condition persists after restart, note
1062-1064 Advisory xxx Advisory number and contact Alcon Technical
ICD test failed. Services.
Recommended actions: See the About Dialog for Alcon Technical
1) Remove and reconnect ICD, then re-test Services contact information
ICD.
2) If condition persists, replace ICD. 1099 Capsulotomy is not supported.
3) If condition persists and in surgery, stabilize Recommended actions:
the eye then restart system. 1) Select a different procedure or remove the
4) If condition persists after restart, note Capsulotomy step.
Advisory number and contact Alcon Technical
Services.
See the About Dialog for Alcon Technical 1100 - Power Control Mechanism
Services contact information.
1101-1149 Warning xxx
1065 Advisory xxx Mechanism power control error.
ICD test failed. Recommended actions:
Recommended actions: 1) If in surgery, stabilize the eye.
1) Press ‘Return to Setup Screen’. 2) Press Standby Switch for 5 seconds to
2) Re-test ICD. shutdown system.
3) Restart system.
1072-1073 Advisory xxx 4) If condition persists, note Warning number
ICD failed. and contact Alcon Technical Services.
Recommended actions: See the About Dialog for Alcon Technical
1) Replace ICD Services contact information.
2) Press ‘Return to Setup Screen’ to test new
ICD. 1150 Advisory xxx
3) If condition persists and in surgery, stabilize Backup power service needed. System will shut
the eye then restart system. down immediately if AC Power is lost.
4) If condition persists after restart, note Recommended actions:
Advisory number and contact Alcon Technical 1) You may proceed with surgery.
Services. 2) If condition persists, note Advisory number
See the About Dialog for Alcon Technical and contact Alcon Technical Services.
Services contact information See the About Dialog for Alcon Technical
Services contact information.
EVENT EVENT
CODE MESSAGE DISPLAYED CODE MESSAGE DISPLAYED
1151 Advisory xxx 1261 Advisory xxx
Backup power temporarily unavailable. Battery is Microscope communication lost.
recharging. System will shut down immediately Recommended actions:
if AC Power is lost. 1) Move Microscope and console closer,
Recommended actions: eliminate obstruction, or open the System
1) You may proceed with surgery. Settings dialog and change the Wireless
2) If condition persists, note Advisory number Footswitch Channel.
and contact Alcon Technical Services.
See the About Dialog for Alcon Technical 1262 Advisory xxx
Services contact information. HDMC communication lost.
Recommended actions:
1153-1154 Advisory xxx 1) Move HDMC and console closer, eliminate
Backup power unavailable due to battery obstruction, or open the System Settings
temperature out of range. This may be a dialog and change the Wireless Footswitch
temporary condition caused by extreme ambient Channel.
temperature. System will shut down immediately
if AC Power is lost.
Recommended actions: 1300 - Tone Mechanism
1) You may proceed with surgery.
2) If condition persists, note Advisory number 1301-1349 Warning xxx
and contact Alcon Technical Services. Fluidics and Coagulation not available.
See the About Dialog for Alcon Technical Recommended actions:
Services contact information. 1) If in surgery, stabilize the eye then restart
system.
1156 Advisory xxx 2) If condition persists after restart, note
Backup power unavailable. System will shut Warning number and contact Alcon Technical
down immediately if AC Power is lost. Services.
Recommended actions: See the About Dialog for Alcon Technical
1) You may proceed with surgery. Services contact information.
2) If condition persists, note Advisory number
and contact Alcon Technical Services.
See the About Dialog for Alcon Technical 1400 - Operator Control Mechanism
Services contact information.
1401-1449 Warning xxx
Fluidics not available.
1200 - Wireless Mechanism Recommended actions:
1) If in surgery, stabilize the eye then restart
1201-1249 Warning xxx system.
Wireless features not available. 2) If condition persists after restart, note
1) If in surgery, stabilize the eye then restart Warning number and contact Alcon Technical
system. Services.
2) If condition persists after restart, note See the About Dialog for Alcon Technical
Warning number and contact Alcon Technical Services contact information.
Services.
See the About Dialog for Alcon Technical
Services contact information. 2000 - IA Subsystem
8065752943 5.19
FOR REFERENCE ONLY
ADVISORIES
EVENT
CODE MESSAGE DISPLAYED
In this section of the Centurion* Vision System Operator's Manual is a list of accessories,
replacement items, and parts approved by Alcon. Use of non‑approved accessories cannot be
permitted.
Please contact the Alcon Sales Department for in-service information prior to initial use of
handpieces, accessories, or packs.
Phone: Write:
(800) 862‑5266 or Alcon, Inc.
(817) 293‑0450 6201 South Freeway
Ask for Customer Service Fort Worth, TX. 76134‑2099
8065752943 6.1
FOR REFERENCE ONLY
DESCRIPTION CATALOG NUMBER
Accessories
Centurion* OZil* Handpiece. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8065751761
OZil* Torsional Handpiece . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8065750469
Centurion* UltraVit* Anterior Vitrectomy Probe, 23 Ga. . . . . . . . . . . . . . . . . . 8065752134
Intrepid* AutoSert* IOL Injector (with plunger and wrench) . . . . . . . . . . . . . . . 8065751755
Intrepid* AutoSert* Injector Nosecone. . . . . . . . . . . . . . . . . . . . . . . . . . . 8065752237
Intrepid* AutoSert* Injector Plunger. . . . . . . . . . . . . . . . . . . . . . . . . . . . 8065751776
Intrepid* AutoSert* Injector Wrench. . . . . . . . . . . . . . . . . . . . . . . . . . . . 8065751775
Remote Control. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8065751774
Centurion* Footswitch. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8065751762
Laureate* Footswitch . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8065750523
Constellation* Footswitch (use only with Constellation* Footswitch Adapter Cable 8065752948). . . 8065750977
Infiniti* Footswitch (use only with Infiniti* Footswitch Adapter Cable 8065752935) . . . . . . . . . 8065750403
Operator’s Manual . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8065752943
Dust Cover . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8065751773
Centurion* Media Stick. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8065751771
Centurion* Tray Arm Cover. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8065752229
Reconstitution Rack. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8065752527
Active FMS Pack, 0.9 mm Intrepid* Nano, Mini-Flared ABS* 45° Kelman* Tip. . . . . . 8065752197
Active FMS Pack, 0.9 mm Intrepid* Nano, Mini-Flared ABS* 30° OZil* Tip . . . . . . . 8065752198
Active FMS Pack, 0.9 mm Intrepid* Nano, Mini-Flared ABS* 45° OZil* Tip . . . . . . . 8065752199
Active FMS Pack, 0.9 mm Intrepid* Nano, Mini-Flared ABS* 30° Reverse OZil* Tip . . . . . 8065752475
Active FMS Pack, 0.9 mm Intrepid* Ultra, ABS* Intrepid* Balanced 30° Tip . . . . . . . 8065752200
Active FMS Pack, 0.9 mm Intrepid* Ultra, ABS* Intrepid* Balanced 45° Tip . . . . . . . 8065752201
Active FMS Pack, 0.9 mm Intrepid* Nano, ABS* Intrepid* Balanced 30° Tip. . . . . . . 8065752202
Active FMS Pack, 0.9 mm Intrepid* Nano, ABS* Intrepid* Balanced 45° Tip. . . . . . . 8065752203
Active FMS Pack, 0.9 mm Intrepid* Ultra, ABS* Mini 30° Kelman* Tip. . . . . . . . . . 8065752244
Active FMS Pack, 0.9 mm Intrepid* Ultra, ABS* Mini 45° Kelman* Tip. . . . . . . . . . 8065752245
Active FMS Pack, 0.9 mm Intrepid* Nano, ABS* Mini 30° Kelman* Tip. . . . . . . . . . 8065752246
Active FMS Pack, 0.9 mm Intrepid* Nano, ABS* Mini 45° Kelman* Tip. . . . . . . . . . 8065752247
8065752943 6.3
FOR REFERENCE ONLY
DESCRIPTION CATALOG NUMBER
Phaco Tips
Alcon's UltraChopper* Tip . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8065751789
30° Round, 0.9 mm ABS *. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8065790020
45° Round, 0.9 mm ABS *. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8065790021
30° Kelman*, 0.9 mm ABS *. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8065790022
45° Kelman*, 0.9 mm ABS *. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8065790023
30° Round, 0.9 mm MicroTip Flared ABS*. . . . . . . . . . . . . . . . . . . . . . . . . 8065740837
45° Round, 0.9 mm MicroTip Flared ABS*. . . . . . . . . . . . . . . . . . . . . . . . . 8065740838
30° Kelman*, 0.9 mm MicroTip Flared ABS*. . . . . . . . . . . . . . . . . . . . . . . . 8065740839
45° Kelman*, 0.9 mm MicroTip Flared ABS*. . . . . . . . . . . . . . . . . . . . . . . . 8065740840
30° Round, 0.9 mm Tapered ABS* . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8065750261
45° Round, 0.9 mm Tapered ABS* . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8065750262
30° Kelman*, 0.9 mm Tapered ABS* . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8065750263
45° Kelman*, 0.9 mm Tapered ABS* . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8065750264
30° Kelman*, 0.9 mm Mini Flared ABS* . . . . . . . . . . . . . . . . . . . . . . . . . . 8065750852
45° Kelman*, 0.9 mm Mini Flared ABS* . . . . . . . . . . . . . . . . . . . . . . . . . . 8065750853
30° OZil* 12, 0.9 mm Mini Flared ABS* . . . . . . . . . . . . . . . . . . . . . . . . . . 8065751176
45° OZil* 12, 0.9 mm Mini Flared ABS* . . . . . . . . . . . . . . . . . . . . . . . . . . 8065751177
30° Reverse OZil* 12, 0.9 mm Mini Flared ABS*. . . . . . . . . . . . . . . . . . . . . . 8065751178
30° Kelman*, 0.9 mm Mini ABS* . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8065752065
45° Kelman*, 0.9 mm Mini ABS* . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8065752066
Irrigation/Aspiration Accessories
Intrepid* Bimanual Polymer I/A Set . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8065751922
Intrepid* Coaxial Polymer I/A Handpiece – Flared Tip, Straight. . . . . . . . . . . . . . 8065751919
Intrepid* Coaxial Polymer I/A Handpiece – Flared Tip, Angled . . . . . . . . . . . . . . 8065751920
Intrepid* Coaxial Polymer I/A Handpiece – Flared Tip, Curved . . . . . . . . . . . . . . 8065751921
Intrepid* Coaxial Polymer I/A Handpiece – Tapered Tip, Straight. . . . . . . . . . . . . 8065752144
Intrepid* Coaxial Polymer I/A Handpiece – Tapered Tip, Angled. . . . . . . . . . . . . 8065752145
Intrepid* Coaxial Polymer I/A Handpiece – Tapered Tip, Curved. . . . . . . . . . . . . 8065752146
Intrepid* Polymer I/A Tip, Straight . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8065751510
Intrepid* Polymer I/A Tip, Angled . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8065751511
Intrepid* Polymer I/A Tip, Curved. . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8065751512
I/A Tip 0.3 mm Small Bore. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 356-1007
I/A Tip 0.3 mm Bent . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 356-1010
Ultraflow* II Handpiece . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8065751795
Ultraflow* Tip Protector, Standalone. . . . . . . . . . . . . . . . . . . . . . . . . . . . 8065817002
Intrepid* I/A Tip .033 OD, .3 mm. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8065751012
Intrepid* I/A Tip .033 OD, .3 mm Bent. . . . . . . . . . . . . . . . . . . . . . . . . . . 8065751013
Silicone I/A Tip, Bent. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8065740969
Silicone I/A Tip, Straight . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8065740970
Bipolar Accessories
Brush (20 Ga). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8065804201
Brush (18 Ga). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8065804001
Brush (23 Ga). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8065807901
Straight Iris Forceps Without Cable. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8065129501
Coaptation Forceps Without Cable. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8065129301
Curved Iris Bipolar Forceps. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8065129101
4" Straight Forceps. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8065127501
3-1/2" Curved Iris. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8065128001
4-1/4" Coaptation, Extra Fine. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8065128201
Kirwan Surgical Products (cables)
12 ft (3.6m) Silicone (Reuse). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10-6000V
12 ft (3.6m) Thermoplastic Rubber (Reuse) . . . . . . . . . . . . . . . . . . . . . . . . 10-5000V
28.6 mm Disposable Bipolar Cable, 12ft (3.6m, SU). . . . . . . . . . . . . . . . . . . . 10-4000V
28.6 mm Disposable Bipolar Cable, 12ft (3.6m, SU). . . . . . . . . . . . . . . . . . . . 10-4001V
Braun (cables)
Aesculap. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .GK291 SU
Aesculap. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .GK331
8065752943 6.5
FOR REFERENCE ONLY
THIS PAGE INTENTIONALLY BLANK
6.6 LAST
FORPAGE OF THIS SECTION
REFERENCE ONLY 8065752943
SECTION SEVEN
INDEX
8065752943 7.1
FOR REFERENCE ONLY
Custom / Backup/Restore / Backup tab. . . . . . . . . . . . 2.64 Estimated leakage comp . . . . . . . . . . . . . . . . . . . 2.81
Custom / Backup/Restore / Restore tab. . . . . . . . . . . . 2.64 Estimated leakage compensation . . . . . . . . . . . . . . . 2.50
Custom button. . . . . . . . . . . . . . . . . . . . . . 2.47, 2.75 Ethernet internet communications (RS422). . . . . . . . . . 2.5
Custom / Doctor Settings / Advanced tab. . . . . . . . . . . 2.52 Europe – R&TTE Directive 99/5/EC. . . . . . . . . . . . . 1.10
Custom / Doctor Settings / Footswitch tab . . . . . . . . . . 2.50 Event . . . . . . . . . . . . . . . . . . . . . . . . . . . 2.69, 5.1
Custom / Doctor Settings / General tab. . . . . . . . . . . . 2.48 Event codes . . . . . . . . . . . . . . . . . . . . . . . . . . 5.10
Custom / Doctor Settings / SGS tab. . . . . . . . . . . . . . 2.51 Event message. . . . . . . . . . . . . . . . . . . . . . . . . 4.1
Custom / Doctor Settings / Sounds tab . . . . . . . . . . . . 2.51 Export. . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2.65
Custom / Export. . . . . . . . . . . . . . . . . . . . . . . . 2.65 Export case metrics . . . . . . . . . . . . . . . . . . . . . . 2.65
Custom pak*. . . . . . . . . . . . . . . . . . . . . . . . . 2.29 Export event log. . . . . . . . . . . . . . . . . . . . . . . . 2.65
Custom / Procedure Builder. . . . . . . . . . . . . . . . . . 2.66
Custom / Save. . . . . . . . . . . . . . . . . . . . . . . . . 2.53
F
Custom / Save As . . . . . . . . . . . . . . . . . . . . . . . 2.53 Faults. . . . . . . . . . . . . . . . . . . . . . . . 5.1, 5.3, 5.10
Custom/Shutdown. . . . . . . . . . . . . . . . . . . . . . . 4.2 FAX. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . i
Custom / Shutdown System. . . . . . . . . . . . . . . . . . 2.70 FCC . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1.8
Custom / System Settings. . . . . . . . . . . . . . . . . . . 2.54 Federal Communications Commission . . . . . . . . . . . . 1.8
Custom / System Settings / General tab. . . . . . . . . . . . 2.54 Field Service Engineers. . . . . . . . . . . . . . . . . . . . 4.1
Custom / System Settings / Pairing tab. . . . . . . . . . . . 2.58 Fill button. . . . . . . . . . . . . . . . . . . . . . . . 2.71, 3.13
Custom / System Settings / Upload tab. . . . . . . . . . . . 2.62 Fill step. . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3.4
Custom / System Settings / Wireless tab. . . . . . . . . . . 2.56 Fill step for irrigation/aspiration . . . . . . . . . . . . . . . 2.92
Custom / View Events. . . . . . . . . . . . . . . . . . . . . 2.69 Fill test chamber. . . . . . . . . . . . . . . . . . . . . . . . 3.7
Final rate (mm/s). . . . . . . . . . . . . . . . . . . . 2.95, 3.11
D
Fixed aspiration control. . . . . . . . . . . . . . . . . . . . 2.92
Date and time . . . . . . . . . . . . . . . . . . . . . . . . . 2.55 Fixed coagulation control. . . . . . . . . . . . . . . . . . . 2.96
D/C cartridge. . . . . . . . . . . . . . . . . . . . . . . . . 2.25 Fixed footpedal control . . . . . . . . . . . . . . . . . 2.9, 2.87
Default PEL. . . . . . . . . . . . . . . . . . . . . . . . . . 2.48 Fixed vacuum control. . . . . . . . . . . . . . . . . . . . . 2.92
Default procedure. . . . . . . . . . . . . . . . . . . . . . . 2.48 Flash drive. . . . . . . . . . . . . . . . . . . . . . . . . . . 2.64
Default settings . . . . . . . . . . . . . . . . . . . . . . . . 1.29 Fluidic Management System (FMS). . . . . . . . 2.28, 2.30, 3.3
Delete doctor. . . . . . . . . . . . . . . . . . . . . . . . . 2.38 Fluidics administration. . . . . . . . . . . . . . . . . . 2.7, 2.77
Delete procedure . . . . . . . . . . . . . . . . . . . . . . . 2.40 Fluidics bags . . . . . . . . . . . . . . . . . . . . . . . . . . 4.8
Description of Centurion* Vision System . . . . . . . . . . . 2.1 Fluidics controls. . . . . . . . . . . . . . . . . . . . . 2.73, 2.77
Description of console . . . . . . . . . . . . . . . . . . . . . 2.2 Fluidics control window . . . . . . . . . . . . . . . . . . . 2.78
Description of footswitch. . . . . . . . . . . . . . . . . . . 2.8 Fluidics module. . . . . . . . . . . . . . . . . . . 2.2, 2.3, 2.28
Description of IR remote control . . . . . . . . . . . . . . . 2.16 FMS. . . . . . . . . . . . . . . . . . . . . . . . 2.28, 2.30, 3.3
Detent. . . . . . . . . . . . . . . . . . . . . . . . . . 2.10, 2.50 FMS packs . . . . . . . . . . . . . . . . . . . . . . . . . . . 6.2
DFU. . . . . . . . . . . . . . . . . . . . . . . . . . . 2.29, 2.30 FMS pack setup procedure. . . . . . . . . . . . . . . . . . . 3.3
Dialogs . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2.35 Footpedal control . . . . . . . . . . . . . . . . . . . . . . . 2.9
Directions for use. . . . . . . . . . . . . . . . . . . . 2.29, 2.30 Footpedal detents . . . . . . . . . . . . . . . . . . . . . . . 2.10
Disable the Vit Cutter. . . . . . . . . . . . . . . . . . . . . 2.98 Footpedal positions . . . . . . . . . . . . . . . . . . . . . . 2.9
Display panel . . . . . . . . . . . . . . . . . . . . . . 2.3, 2.35 Footpedal spans. . . . . . . . . . . . . . . . . . . . . . . . 2.10
Display screens . . . . . . . . . . . . . . . . . . . . . . . . 2.35 Footpedal vibration . . . . . . . . . . . . . . . . . . . 2.10, 2.50
Doctor Name button. . . . . . . . . . . . . . . . . . . . . . 2.37 Footswitch. . . . . . . . . . . . . . . . . . . . . . . . . . . 1.17
Doctor Name dialog. . . . . . . . . . . . . . . . . . . . . . 2.53 Footswitch battery. . . . . . . . . . . . . . . . . . . . . . . 2.14
Doctor settings . . . . . . . . . . . . . . . . . . . . . . . . 2.47 Footswitch battery status. . . . . . . . . . . . . . . . . . . 2.43
Doctor settings dialog. . . . . . . . . . . . . . . . . . . . . 2.48 Footswitch button. . . . . . . . . . . . . . . . . . . . . . . 2.43
Doctor settings dialog screen . . . . . . . . . . . . . . . . . 2.11 Footswitch button assignments . . . . . . . . . . . . . . . . 2.10
Drawer. . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2.4 Footswitch cable . . . . . . . . . . . . . . . . . . . . . . . 2.15
Drop list menu. . . . . . . . . . . . . . . . . . . . . . . . . 2.47 Footswitch channel . . . . . . . . . . . . . . . . . . . . . . 2.56
Footswitch cleaning. . . . . . . . . . . . . . . . . . . . . . 4.3
E Footswitch connectors . . . . . . . . . . . . . . . . . . . . 2.15
Edit procedure comments. . . . . . . . . . . . . . . . . . . 2.40 Footswitches . . . . . . . . . . . . . . . . . . . . . . . 2.8, 2.43
EMC statements. . . . . . . . . . . . . . . . . . . . . . . . 1.4 Footswitch floor security. . . . . . . . . . . . . . . . . . . 2.15
Enable and disable the Vit cutter. . . . . . . . . . . . . . . 2.98 Footswitch hanger / charging station . . . . . . . . . . . . . 2.5
Encryption. . . . . . . . . . . . . . . . . . . . . . . . . . . 2.63 Footswitch icon. . . . . . . . . . . . . . . . . . . . . . . . 2.8
Enter key . . . . . . . . . . . . . . . . . . . . . . . . . . . 2.18 Footswitch network. . . . . . . . . . . . . . . . 2.43, 2.44, 2.56
Environmental considerations. . . . . . . . . . . . . . . . . 1.4 Footswitch network region . . . . . . . . . . . . . . . . . . 2.57
Eq. bottle height. . . . . . . . . . . . . . . . . . . . . . . . 2.80 Footswitch range spans . . . . . . . . . . . . . . . . . . . . 2.50
Equipotential ground connector. . . . . . . . . . . . . . . . 2.5 Footswitch signal strength . . . . . . . . . . . . . . . . . . 2.43
8065752943 7.5
FOR REFERENCE ONLY
W
Warnings . . . . . . . . . . . . . . . . . . . . xii, 5.1, 5.2, 5.10
Warnings and Cautions . . . . . . . . . . . . . . . . . . . . 1.11
Warranty. . . . . . . . . . . . . . . . . . . . . . . . . . . . 1.23
Wi-Fi channel. . . . . . . . . . . . . . . . . . . . . . . . . 2.57
Wi-Fi network. . . . . . . . . . . . . . . . . . . . . . . . . 2.57
Wi-Fi network region. . . . . . . . . . . . . . . . . . . . . 2.57
Wi-Fi SSID . . . . . . . . . . . . . . . . . . . . . . . . . . 2.57
Wired footswitches . . . . . . . . . . . . . . . . . . . . . . 2.8
Wireless device pairing. . . . . . . . . . . . . . . . . . . . 2.44
Wireless footswitch channel . . . . . . . . . . . . . . . . . 2.14
Wireless footswitch network. . . . . . . . . . . . . . . . . 2.44
Wireless signal strength. . . . . . . . . . . . . . . . . . . . 2.43
Wireless tab. . . . . . . . . . . . . . . . . . . . . . . . . . 2.56
Wire loop. . . . . . . . . . . . . . . . . . . . . . . . . . . . 3.3
Work surface . . . . . . . . . . . . . . . . . . . . . . . . . . 2.6
7.6 LAST
FORPAGE OF THIS SECTION
REFERENCE ONLY 8065752943